Provider Demographics
NPI:1801037700
Name:MD TOTAL CARE, LLC
Entity Type:Organization
Organization Name:MD TOTAL CARE, LLC
Other - Org Name:PULMONARY & CRITICAL CARE CONSULTANTS OF CHATTANOOGA
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:CZARNECKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-710-3864
Mailing Address - Street 1:PO BOX 8308
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37414-0308
Mailing Address - Country:US
Mailing Address - Phone:423-710-3864
Mailing Address - Fax:423-710-3865
Practice Address - Street 1:1301 MCCALLIE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-2934
Practice Address - Country:US
Practice Address - Phone:423-710-3864
Practice Address - Fax:423-710-3865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2912103TC0700X
TN44980207R00000X, 207RC0200X, 207RP1001X, 207RS0012X, 208D00000X, 208M00000X
GA063058207R00000X, 207RC0200X, 207RP1001X, 207RS0012X, 208D00000X, 208M00000X
TXM4016207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103G704006Medicare PIN