Pulmonary and Critical Care Services, LLC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

17160 Issued in TN

Legal business name

PULMONARY AND CRITICAL CARE SERVICES, LLC

Practice address

8427 Providence Rd
Ooltewah, TN 37363-9619

Phone

(423) 499-2712

Fax

(281) 833-3323

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

John P Gunter, MD

Title

Sole Member

Phone

(423) 499-2712

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1528080421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774020128",
            "telephone_number": "281-833-3330",
            "fax_number": "281-833-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8427 PROVIDENCE RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373639619",
            "telephone_number": "423-499-2712",
            "fax_number": "281-833-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND CRITICAL CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "GUNTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "423-499-2712",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "17160",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "17160",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3735068",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DG2514",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1528080421",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Critical Care Medicine (Internal Medicine) Physician in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Critical Care Medicine (Internal Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.