Wolfchase Family Medical Care, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

22064 Issued in TN

Legal business name

WOLFCHASE FAMILY MEDICAL CARE, PLLC

Practice address

8485 US Highway 64 Ste 101
Memphis, TN 38133-4102

Phone

(901) 377-3001

Fax

(901) 377-3130

NPI assigned

Nov 4, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John R Wickman, MD, MPHNPI 1871513739

Title

Owner

Phone

(901) 377-3001

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John R Wickman, M.D., MPH

  • Specialist
  • Memphis, TN
  • NPI 1871513739
  Medicare reassignment Authorized official
• Daniel S Fearnow, M.D.

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1447306774
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1972804110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8485 US HIGHWAY 64 STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381334102",
            "telephone_number": "901-377-3001",
            "fax_number": "901-377-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8485 US HIGHWAY 64 STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381334102",
            "telephone_number": "901-377-3001",
            "fax_number": "901-377-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFCHASE FAMILY MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "WICKMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-377-3001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "22064",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "12858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thao Thi Phuong Wolbert, MD
• Bradley A Wolf, M.D.
• Frederick Gregory Wolf, M.D.
• Joshua Wolf, MBBS
• Teresa Wolf
• Wolfchase Limb and Brace
• Bridgett Katherine Wolfe, APN
• Devinn N Wolfe, NP-C
• David C Wolford, MD
• June Elise Wolford

• Primary Care Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.