CARL J SICILIANO (NPI# 1922056431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922056431 |
| Entity Type | Individual |
| Full Name | CARL J SICILIANO |
| Credential | DPM |
| Practice Address |
7424 Us Highway 64 Ste 119 Bartlett TN 38135 |
| Mailing Address |
7424 Highway 64 Suite 119 Bartlett TN 38135 |
| Practice Telephone | 9013812800 |
| Practice Fax Number | 9013812677 |
| Mailing Telephone | 9013812800 |
| Mailing Fax Number | 9013812677 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | TN0000000422 | TN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE ID TYPE UNSPECIFIED | P00450580 | 01 |
| Street Address |
7424 US HIGHWAY 64 STE 119 |
| City | BARTLETT |
| State | TN |
| Zip Code | 38135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073764692 | Adam C Macevoy | Podiatrist | 7424 Us Highway 64, Bartlett, TN 38133-3986 | 2008-10-01 |
| 1578711131 | Lorena Beatriz Alvarez | Podiatrist | 7424 Us Highway 64, Suite 119, Bartlett, TN 38133-3986 | 2008-09-08 |
| 1457480683 | Wolf River Family Footcare Pllc | Podiatrist | 7424 Us Highway 64, Suite 119, Bartlett, TN 38133-3986 | 2007-03-05 |
| 1154351278 | Fawn Cress | Nurse Practitioner | 7424 Us Highway 64, Suite 111, Bartlett, TN 38133-3986 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326677907 | Hamad Ahmad Md PC | Family Medicine | 6490 Memphis Arlington Rd Suite 106, Bartlett, TN 38135 | 2020-04-06 |
| 1699143156 | Cortney Brugal | Pharmacist | 3881 Rim Creek Ln, Memphis, TN 38135 | 2015-09-14 |
| 1841689783 | Georginia Melius Ix | Occupational Therapist | 3655 Jalan Drive, Bartlett, TN 38135 | 2015-01-15 |
| 1518123033 | Sheila Ann Perkins | Occupational Therapy Assistant | 3909 Old Covington Pike Road, Memphis, TN 38135 | 2008-08-04 |
| 1881815801 | Rahul Vasant Sonone | Psychiatry & Neurology | 7645 Wolfriver Circle, 100, Germatown, TN 38135 | 2007-05-01 |
| 1295873842 | Tanya Lasha Hill | Counselor | 7410 Memphis-arlington Road, Memphis, TN 38135 | 2007-02-02 |
| 1013056084 | Nicole Lynn Gebke | Social Worker | 7410 Memphis-arlington Rd, Bartlett, TN 38135 | 2007-02-06 |
| 1053949586 | Michella Glenna Douglas | Physician Assistant | 3911 Oak Branch Cir W, Memphis, TN 38135-0213 | 2020-03-30 |
| 1124671060 | Anne Ellen Roberson | Nurse Practitioner | 3924 Oak Branch Cir E, Bartlett, TN 38135-0223 | 2019-07-19 |
| 1588102446 | Kathleen Marie Durant | Speech-Language Pathologist | 5632 Dedo Cir, Memphis, TN 38135-0235 | 2017-02-10 |
| Find all providers in zip 38135 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831294735 | Kevin M Massard Ltd PC | Podiatrist | 321 W Railroad Ave, Bartlett, IL 60103-4428 | 2006-09-14 |
| 1245227784 | Christopher L Hendrix | Podiatrist | 7400 Us Highway 64, Bartlett, TN 38133-3904 | 2005-09-30 |
| 1982103057 | Ut Medical Group, Inc. | Podiatrist | 6575 Stage Rd, Bartlett, TN 38134-3809 | 2018-02-05 |
| 1427481753 | Christopher L Hendrix, Dpm, PC | Podiatrist | 7400 Us Highway 64, Bartlett, TN 38133-3904 | 2013-08-09 |
| 1073764692 | Adam C Macevoy | Podiatrist | 7424 Us Highway 64, Bartlett, TN 38133-3986 | 2008-10-01 |
| 1578711131 | Lorena Beatriz Alvarez | Podiatrist | 7424 Us Highway 64, Suite 119, Bartlett, TN 38133-3986 | 2008-09-08 |
| 1043490675 | Kevin M Massard | Podiatrist | 321 W Railroad Ave, Bartlett, IL 60103-4428 | 2007-11-12 |
| 1194808451 | Brian Howard Dunn | Podiatrist | 108 W Bartlett Ave, Bartlett, IL 60103-4235 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686696 | Ankle and Foot Centers of Nashville, LLC | Podiatrist | 1909 Mallory Ln Ste 100, Franklin, TN 37067-8230 | 2020-07-16 |
| 1417571498 | Advanced Diagnostic Imaging, PC | Podiatrist | 353 New Shackle Island Rd Ste 120b, Hendersonville, TN 37075-2329 | 2020-06-04 |
| 1154836708 | Advanced Foot Care, LLP | Podiatrist | 705 Cook Dr Ste 200, Athens, TN 37303-3494 | 2017-12-05 |
| 1043725690 | Advanced Foot Care, LLP | Podiatrist | 689 Medical Park Drive, Ste. 102, Lenoir City, TN 37772-5797 | 2017-12-05 |
| 1265941447 | Mendoza Foot & Ankle Center PC | Podiatrist | 3443 Dickerson Pike Ste 500, Nashville, TN 37207-2599 | 2017-09-20 |
| 1174044010 | Kevin Timothy Haag | Podiatrist | 9325 Apison Pike Ste 137, College Dale, TN 37363-3805 | 2017-06-30 |
| 1639526577 | Jared Todd Gremillion | Podiatrist | 240 Medical Park Blvd Ste 1500, Bristol, TN 37620-7353 | 2016-05-20 |
| 1720473820 | James Barksdale | Podiatrist | 1605 S Locust Ave Ste 101, Lawrenceburg, TN 38464-4053 | 2015-04-06 |
| 1780072371 | Special Care Podiatry of Tennessee, LLC | Podiatrist | 6140 E Brainerd Rd, Chattanooga, TN 37421-3910 | 2015-01-05 |
| 1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.