MEDICARE: DR. FRANK A OGNIBENE D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	80092	MS
2	213ES0103X	Foot & Ankle Surgery Podiatrist	DPM 178	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	002004919	OTHER	TN	BLUE CROSS BLUE SHEILD TN

General Provider Information

NPI Number	:	1649275058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK A OGNIBENE D.P.M.

Provider Business Mailing Address
First Line	:	PO BOX 847
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38088-0847
Country	:	US
Telephone Number	:	901-821-0338
Fax Number	:

Provider Business Practice Location Address
First Line	:	7878 WINCHESTER RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-2307
Country	:	US
Telephone Number	:	901-757-0045
Fax Number	:	901-756-4413

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	10/24/2024

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