Nonyelu A Chukwuogo, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD45034 Issued in TN

Practice address

631 RB Wilson Dr Ste 2
Huntingdon, TN 38344-1727

Phone

(731) 358-4287

Fax

(731) 393-0098

NPI assigned

Nov 2, 2006

Last updated

May 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Morehouse Ouachita Surgery Associates

  dba Chukwuogo Surgery Clinic

  • Clinic/Center
  • Waverly, TN
  • NPI 1558908632
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1295813699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 RB WILSON DR STE 2",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383441727",
            "telephone_number": "731-358-4287",
            "fax_number": "731-393-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 RB WILSON DR STE 2",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383441727",
            "telephone_number": "731-358-4287",
            "fax_number": "731-393-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUOGO",
        "first_name": "NONYELU",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD45034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan H Cary, PHARM D
• Danna Smith Castleman, PA-C
• Kaye Cathey, BSSW
• Charles a Thomason
• Zachary Scott Chrisman
• City Drug Company, Inc (City Drug Co)
• Clinical Radiologists, PLLC
• Cindy A Cole
• Tori Crider, PHARMD
• Kaitlyn Joyce Douglas, LPC

• Surgery Physician in Huntingdon, TN
• Providers in Huntingdon, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.