Look up the most recent NPI and PECOS records

Robert Harold Funke

Family Medicine

Allopathic & Osteopathic Physicians

444 Clinchfield Street, Suite 201, Kingsport, TN 37660-3606

PECOS Enrollment

Based on the most recent information from CMS, provider Robert Harold Funke does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1528079910
Provider Type
Individual
Full Name
Funke, Robert Harold
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/10/2006
Last Updated
11/16/2016

Contact Information

Practice Location

444 Clinchfield Street, Suite 201, Kingsport, TN 37660-3606

(423) 230-2700

(423) 230-2710

Mailing Location

444 Clinchfield Street, Suite 201, Kingsport, TN 37660-3606

(423) 230-2700

(423) 230-2710

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License MD0000016695 Tennessee
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 16695 Tennessee

Provider Identifiers

ID	Description	Issuer
ID 005609852	Description Medicaid	Issuer Unlisted Virginia
ID 3016493	Description Medicaid	Issuer Unlisted Tennessee

Robert Harold Funke

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Medical Education Assistance Corporation

Hadley, Eric

Rajoo, Shari K

Amadio, Patricia B.

Jantzi, Curtis Matthew

Switalski, Remigiusz Jan

Lawrence, Amy Christine

D'Aprile-Lubrano, Joann W.

Reiff, Deborah

Blue Ridge Medical Management Corporation