Wolf River Family Footcare PLLC
NPI 1457480683ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Bartlett, TN
Podiatrist, Foot & Ankle Surgery in Bartlett, Tennessee, registered in NPPES in March 2007. The authorized official on file is Carl Joseph Siciliano, D.P.M., Owner Sole Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457480683 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 5, 2007 |
| Last updated in NPPES | Jun 5, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | DPM0000000422 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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