Individual provider Active NPI

Stephen Eguabor Ehiremen, M.D.

  • Obstetrics & Gynecology Physician
  • Memphis, TN
National Provider Identifier
1699963249
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
46062 Issued in TN
Practice address
3337 Kirby Pkwy
Memphis, TN 38115-3816
Phone
(901) 590-4428
Fax
(901) 249-5827
NPI assigned
Oct 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 46062 TN Primary

Addresses

Primary practice location

3337 Kirby Pkwy
Memphis, TN 38115-3816

Mailing address

3337 Kirby Pkwy
Memphis, TN 38115-3816
Phone (901) 590-4428

Other practice location 1

1251 Wesley Dr Ste 104
Memphis, TN 38116-6442
Phone (901) 590-4428

Other practice location 2

2900 Kirby Rd Ste 11
Memphis, TN 38119
Phone (901) 590-4428

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110506000145 TN Practitioner - Obstetrics/Gynecology 7113102153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3337 Kirby Pkwy
Memphis, TN 38115-3816
Phone (901) 590-4428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tristate OBGYN, PC Obstetrics & Gynecology CurrentSince Aug 1, 2016 Accepting new patients
OB GYN Centers of Memphis,Mpllc Obstetrics & Gynecology CurrentSince Jun 26, 2016 Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Jayanta K Dirghangi MD PC Obstetrics & Gynecology PastSince Oct 1, 2016 Accepting new patients
Baptist Memorial Hospital Past Accepting new patients

Locations

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3337 Kirby Pkwy
Memphis, TN 38115
Phone (901) 362-1931

2900 Kirby Rd
Ste 11
Memphis, TN 38119
Phone (901) 345-4640

1264 Wesley Dr
Ste 402
Memphis, TN 38116
Phone (901) 396-5577

1251 Wesley Dr
Ste 104
Memphis, TN 38116
Phone (870) 733-1177

Interoperability endpoints

  • Direct secure messaging: sehiremen32895@mlh.direct-ci.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1699963249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 KIRBY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153816",
            "telephone_number": "901-590-4428",
            "fax_number": "901-249-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3337 KIRBY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381153816",
            "telephone_number": "901-590-4428",
            "fax_number": "901-249-5827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 Wesley Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381166442",
            "country_code": "US",
            "telephone_number": "901-590-4428",
            "fax_number": "901-249-5827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Kirby Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38119",
            "country_code": "US",
            "telephone_number": "901-590-4428",
            "fax_number": "901-249-5827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EHIREMEN",
        "first_name": "STEPHEN",
        "middle_name": "EGUABOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "46062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.