Active NPI
John P Gunter, MD
- Critical Care Medicine (Internal Medicine) Physician
- Ooltewah, TN
National Provider Identifier
1558335737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 0000017160
- Practice address
- 8427 Providence Rd
Ooltewah, TN 37363-9619 - Phone
- (423) 499-2712
- Fax
- (281) 833-3323
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0000017160 | TN | Primary |
| Pulmonary Disease Physician | 207RP1001X | 17160 | TN |
Addresses
Primary practice location
8427 Providence Rd
Ooltewah, TN 37363-9619
Mailing address
PO Box 128
Bellaire, TX 77402-0128
Phone (281) 833-3330
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00424963 | Other | TN | RR MEDICARE |
| 3059915 | Other | INDIVIDUAL MEDICARE PTAN | |
| 3059915 | Medicaid | TN | |
| 4136248 | Other | TN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190827004154 | GA | Practitioner - Critical Care (Intensivists) | 8325046675 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000017160 | TN | MD | Critical Care Medicine (Internal Medicine) Physician |
| 17160 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savannah Multispecialty Associates, LLC | Current | Accepting new patients | |
| Ut Physicians Inc | Past | Accepting new patients | |
| Galen Medical Group, PC | Past | Accepting new patients |
Locations
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419811200000",
"number": "1558335737",
"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": {
"last_name": "GUNTER",
"first_name": "JOHN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2014-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TN",
"license": "0000017160",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TN",
"license": "17160",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00424963",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL MEDICARE PTAN",
"identifier": "3059915",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3059915",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4136248",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ooltewah, TN
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.