Active NPI
Wendell Lavern Funk, MD
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Lancaster, PA
National Provider Identifier
1326151499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- License
- MD019811-E
- Practice address
- 230 Harrisburg Ave
Suite 7
Lancaster, PA 17603-2959 - Phone
- (717) 299-9551
- Fax
- (717) 399-9266
- NPI assigned
- Aug 15, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | MD019811-E | PA | Primary |
Addresses
Primary practice location
230 Harrisburg Ave
Suite 7
Lancaster, PA 17603-2959
Mailing address
230 Harrisburg Ave
Suite 7
Lancaster, PA 17603-2959
Phone (717) 299-9551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0812284 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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 |
|---|---|---|---|---|
| I20110615000192 | PA | Practitioner - Plastic and Reconstructive Surgery | 8729265921 | Practice locations: Camp Hill, PA; Lancaster, PA; York, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Temple University School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
205 Grandview Ave
Suite 4
Camp Hill, PA 17011-1708
Phone (717) 763-5500
230 Harrisburg Ave
Suite 7
Lancaster, PA 17603-2959
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 31 |
| Removal or shaving of skin growth | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD019811-E | PA | MD | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician |
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Ephrata Community Hospital
- General Acute Care Hospital
- Ephrata, PA
- NPI 1083615587
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1558558064
-
dba Ephrata Hospitalist Group
- Hospitalist Physician
- Ephrata, PA
- NPI 1700023041
-
dba WellSpan Ephrata Community Hospital
- Clinic/Center
- Ephrata, PA
- NPI 1548423684
Hospital
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1104875103
-
dba Parkesburg Outpatient Center
- General Acute Care Hospital
- Parkesburg, PA
- NPI 1245571942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326151499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 HARRISBURG AVE",
"address_2": "SUITE 7",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176032959",
"telephone_number": "717-299-9551",
"fax_number": "717-399-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 HARRISBURG AVE",
"address_2": "SUITE 7",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176032959",
"telephone_number": "717-299-9551",
"fax_number": "717-399-9266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "WENDELL",
"middle_name": "LAVERN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "PA",
"license": "MD019811-E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0812284",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.