Steven Michael Shulruff, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

43023 Issued in TN

Practice address

BLDG 52, Lake Dr
Mountain Home, TN 37684-0699

Phone

(423) 439-8000

Fax

(423) 439-2200

NPI assigned

Sep 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1255527370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "376840699",
            "telephone_number": "423-439-8000",
            "fax_number": "423-439-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 52, LAKE DR",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "376840699",
            "telephone_number": "423-439-8000",
            "fax_number": "423-439-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULRUFF",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "43023",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TN",
            "license": "43023",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "3714471",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Michael Shelton, MD
• David Robert Shields Jr., MSW
• Roxy L Shortridge, FNP-BC
• Lawrence I Shotland, PH.D.
• Amber Michelle Shuck, LCSWA
• Nancy Karen Shumate, PA-C
• Gurman Kaur Sidhu, M.D.
• Gary Wayne Simerly
• Patrick Sloan, PH.D.
• Vicki Jo Smedley, PHARMD

• Psychiatry Physician in Mountain Home, TN
• Providers in Mountain Home, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.