Healthcare Provider Details

I. General information

NPI: 1790975902
Provider Name (Legal Business Name): OGNIBENE CLINICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7878 WINCHESTER RD
MEMPHIS TN
38125-2307
US

IV. Provider business mailing address

2120 EXETER RD SUITE 220
GERMANTOWN TN
38138-3964
US

V. Phone/Fax

Practice location:
  • Phone: 901-757-0045
  • Fax: 901-756-4413
Mailing address:
  • Phone: 901-757-0045
  • Fax: 901-756-4413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberDPM0000000179
License Number StateTN

VIII. Authorized Official

Name: DR. FRANK OGNIBENE
Title or Position: SOLE OWNER
Credential: DPM
Phone: 901-757-0045