1. Home
  2. Directory
  3. Tennessee
  4. Bartlett
  5. Podiatrist
  6. NPI Profile

WOLF RIVER FAMILY FOOTCARE PLLC
NPI 1457480683
Podiatrist - Foot & Ankle Surgery in Bartlett, TN

Active since March 05, 2007
7424 US HIGHWAY 64, SUITE 119, BARTLETT, TN 38133(901) 381-2800(901) 381-2677 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wolf River Family Footcare Pllc NPPES

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

WOLF RIVER FAMILY FOOTCARE PLLC (NPI 1457480683) is a healthcare organization registered as a foot & ankle surgery in Bartlett, Tennessee and active in the NPI registry since March 2007. The organization lists Carl Joseph Siciliano, Owner Sole Member, as its authorized official.

NPPES Registry Identity

NPI1457480683
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameWOLF RIVER FAMILY FOOTCARE PLLC
Location Address7424 US HIGHWAY 64, SUITE 119Bartlett, TN 38133-3986
Mailing Address7424 Us Highway 64, Suite 119Bartlett, TN 38133-3986 · (901) 381-2800 · Fax (901) 381-2677
Phone(901) 381-2800
Fax(901) 381-2677
Organization SubpartNo
Authorized OfficialCarl Joseph SicilianoOwner Sole Member · (901) 381-2800
Enumeration DateMarch 5, 2007
Last NPPES UpdateJune 5, 2008
✔ NPI 1457480683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in TN · DPM0000000422
7424 US HIGHWAY 64, Bartlett, TN 38133
Open in Google Maps ↗

Other Identifiers 3

Medicare NSC6041020001
OtherDG7179TN · Medicare Id Type Unspecified
Medicare PIN33519762

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

SANDRA BOYLAND RANDOLPH M.D.
Family Medicine
7424 US HIGHWAY 64, SUITE 111
MEMPHIS, TN 38133
Shelby County (901) 385-7817
LORENA BEATRIZ ALVAREZ D.P.M.
Podiatrist
7424 US HIGHWAY 64, SUITE 119
BARTLETT, TN 38133
Shelby County (901) 381-2800
DR. ADAM C MACEVOY DPM
Podiatrist (Foot & Ankle Surgery)
7424 US HIGHWAY 64
BARTLETT, TN 38133
Shelby County (901) 381-2800

Frequently Asked Questions

What is WOLF RIVER FAMILY FOOTCARE PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1457480683, enumerated as an "organization" on March 05, 2007.

Where is the provider located?

The provider is located at 7424 US HIGHWAY 64 SUITE 119 BARTLETT, TN 38133 and the phone number is (901) 381-2800.

What is the provider's specialty?

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

What insurance does WOLF RIVER FAMILY FOOTCARE PLLC accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.