DR. STANLEY CHINOMNSO EBOH MD
NPI 1104555333
Student in an Organized Health Care Education/Training Program in Germantown, TN

Q: What is Stanley Eboh's NPI number?

The NPI number for Stanley Eboh is 1104555333. It was assigned to this individual provider in the NPPES registry on June 4, 2022.

Q: What is Stanley Eboh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Stanley Eboh was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 04, 2022PECOS Enrolled

1400 S GERMANTOWN RD, GERMANTOWN, TN 38138(901) 759-3275 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Stanley Chinomnso Eboh Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STANLEY CHINOMNSO EBOH MD (NPI 1104555333) is an individual student in an organized health care education/training program in Germantown, Tennessee and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104555333

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. STANLEY CHINOMNSO EBOHCredential: MD

Location Address1400 S GERMANTOWN RDGermantown, TN 38138-2205

Mailing Address1400 S Germantown RdGermantown, TN 38138-2205 · (901) 759-3275

Phone(901) 759-3275

Sole ProprietorNo

Enumeration DateJune 4, 2022

Last NPPES UpdateJune 6, 2022

NPPES CertifiedJune 6, 2022

✔ NPI 1104555333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1400 S GERMANTOWN RD, Germantown, TN 38138

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stanley Chinomnso Eboh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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