Individual provider Active NPI

John R Funk, MD

  • Anesthesiology Physician
  • Tucson, AZ
National Provider Identifier
1124011820
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25362 Issued in AZ
Practice address
3390 N Campbell Ave
Ste 110
Tucson, AZ 85719-2380
Phone
(520) 795-7650
Fax
(520) 325-1622
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25362 AZ Primary

Addresses

Primary practice location

3390 N Campbell Ave
Ste 110
Tucson, AZ 85719-2380

Mailing address

3390 N Campbell Ave
Ste 110
Tucson, AZ 85719-2380
Phone (520) 795-7650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823001024 AZ Practitioner - Anesthesiology 6204950595 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Washington School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Arizona Anesthesia Services PCGroup PAC ID 1850382565, 44 clinicians
Ias Arizona PLLCGroup PAC ID 7517312648, 122 clinicians

Practice addresses (Care Compare)

3390 N Campbell Ave
Tucson, AZ 85719-2380
Phone (520) 795-7650

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (469) 340-1366

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25362AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Arizona - Nogales Anesthesiology CurrentSince Sep 5, 2024 Accepting new patients
Valley Regional Anesthesia Associates Inc Anesthesiology CurrentSince Feb 17, 2025 Accepting new patients
Southern Arizona Anesthesia Services, PC Anesthesiology CurrentSince Jul 1, 1999 Accepting new patients
Ias Arizona PLLC Anesthesiology CurrentSince Oct 29, 2023 Accepting new patients
Northeastern Anesthesia PLLC Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients

Locations

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

3390 N Campbell Ave
Ste 110
Tucson, AZ 85719
Phone (520) 784-2243

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

5755 S Houghton Rd
Tucson, AZ 85747
Phone (520) 324-1727

10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1124011820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 N CAMPBELL AVE",
            "address_2": "STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192380",
            "telephone_number": "520-795-7650",
            "fax_number": "520-325-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 N CAMPBELL AVE",
            "address_2": "STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192380",
            "telephone_number": "520-795-7650",
            "fax_number": "520-325-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "25362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.