Individual provider Active NPI

Philip A Sherman, M.D.

  • Legal Medicine
  • Union City, TN
National Provider Identifier
1184623464
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
MD14467 Issued in TN
Practice address
1720 E Reelfoot Ave
Suite 103
Union City, TN 38261-6047
Phone
(731) 886-1252
Fax
(731) 886-1261
NPI assigned
Jul 19, 2005
Last updated
Jul 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X MD14467 TN Primary

Addresses

Primary practice location

1720 E Reelfoot Ave
Suite 103
Union City, TN 38261-6047

Mailing address

1720 E Reelfoot Ave
Suite 103
Union City, TN 38261-6047
Phone (731) 886-1252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD14467TNMDLegal Medicine
14467TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pauker Inpatient Services Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1184623464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E REELFOOT AVE",
            "address_2": "SUITE 103",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616047",
            "telephone_number": "731-886-1252",
            "fax_number": "731-886-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E REELFOOT AVE",
            "address_2": "SUITE 103",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616047",
            "telephone_number": "731-886-1252",
            "fax_number": "731-886-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "PHILIP",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TN",
            "license": "MD14467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.