Grover Ferdinand Schleifer III, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7070 Issued in TN

Practice address

1720 E. Reelfoot Ave.
Ste 103
Union City, TN 38261-6048

Phone

(731) 886-1240

Fax

(731) 886-1234

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1124084694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E. REELFOOT AVE.",
            "address_2": "STE 103",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616048",
            "telephone_number": "731-886-1240",
            "fax_number": "731-886-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E. REELFOOT AVE.",
            "address_2": "STE 103",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616048",
            "telephone_number": "731-886-1240",
            "fax_number": "731-886-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEIFER",
        "first_name": "GROVER",
        "middle_name": "FERDINAND",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "7070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3148109",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bobby James Russell, D.PH.
• Laura Russell, CFNP
• Mylinda Orene Russell, SR. PSYCH. EXAMINER
• Kimberly Russom, NP
• Karyn Satterfield, MPT
• Chelsea Shannon, FNP-BC
• Philip A Sherman, M.D.
• Tyler Sherwood, PA-C
• Michelle Le Short, LMT, MMP, BCTMB
• Travis Dale Shumate, DDS

• Family Medicine Physician in Union City, TN
• Providers in Union City, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.