William W. Funderburk, MD Facs PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD25208 Issued in DC

Legal business name

WILLIAM W. FUNDERBURK, MD FACS PC

Practice address

1160 Varnum St NE
211
Washington, DC 20017-2107

Phone

(202) 269-1143

Fax

(202) 269-3233

NPI assigned

Jan 22, 2013

Organization subpart

No

Name

Dr. William Watson Funderburk Sr., MD

Title

President

Phone

(202) 269-1143

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Ian Austin, MD

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1093715005
  NPD (past)
• John Davis Butler Jr., M.D.

  • Surgery Physician
  • Gaithersburg, MD
  • NPI 1447303458

  Surgery

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2013.

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1306184676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "211",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "202-269-1143",
            "fax_number": "202-269-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "211",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "202-269-1143",
            "fax_number": "202-269-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM W. FUNDERBURK, MD FACS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "FUNDERBURK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WATSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-269-1143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "DC",
            "license": "MD25208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William E. Doar Jr. Public Charter School
• William E. Morris, M.D., PC
• William J Brownlee M D LLC
• William J. Burke, D.D.S., P.C.
• William R Frederick MD PC
• William Wendt Center for Loss and Healing
• Patricia William
• Lonnie Eugene Williams III
• Deirdre Michelle Williams Mercer
• Shanay Williams Payne

• All providers in Washington, DC
• Surgery Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.