Eguosa LLC

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

EGUOSA LLC

Practice address

1300 Wesley Dr
Memphis, TN 38116-6426

Phone

(901) 516-3700

NPI assigned

May 11, 2017

Last updated

Sep 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Egunmwendia Ogbeide, MD

Title

President

Phone

(901) 377-7308

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1407382492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1891",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380271891",
            "telephone_number": "901-516-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WESLEY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166426",
            "telephone_number": "901-516-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGUOSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "OGBEIDE",
        "authorized_official_first_name": "EGUNMWENDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-377-7308",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q02814",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timmye Lyn Edwards, PHARMD
• Todd D Edwards, MD
• William Edwards
• Nicholas Luke Egbert, D.D.S.
• Sarah Eggers
• Egyg Transportation LLC
• Stephen Eguabor Ehiremen, M.D.
• Matthew James Ehrhardt, M.D.
• Ashley Eichwurtzle, NNP-BC
• John Francis Eick, M.D.

• Medical Oncology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Medical Oncology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.