Amy Funderburk, MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD31772 Issued in TN

Legal business name

AMY FUNDERBURK, MD PC

Practice address

1282 Union Ave
Memphis, TN 38104-3414

Phone

(901) 761-6157

Fax

(901) 761-6145

NPI assigned

Jul 29, 2008

Organization subpart

No

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

Authorized official

Name

Amy E Funderburk, MD

Title

Owner

Phone

(901) 767-3157

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 4

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

• Collin Taylor Bentley, APRN, FNP-C

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1972327922
  Medicare reassignment Care Compare group NPD
• Barbara Dennis, NP-C

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1831584622
  Medicare reassignment Care Compare group NPD
• Amy Elise Funderburk Mock, M.D.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1114919370
  Medicare reassignment Care Compare group NPD
• Amber Elizabeth Adams, NP

  • Adult Health Nurse Practitioner
  • Memphis, TN
  • NPI 1053791616
  Medicare reassignment NPD

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1376709451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770390",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381770390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043414",
            "telephone_number": "901-761-6157",
            "fax_number": "901-761-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY FUNDERBURK, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "FUNDERBURK",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-767-3157",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD31772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3843367",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ata Amro
• Malak Amro
• Naser Eyad Amro, MD
• Jeffrey David Amstutz, DDS
• Sarah Amundson, PA-C
• An Everlasting Care, LLC
• An Extra Pair of Hands
• Steven John Anander, M.D.
• Anb Senior Services
• Catherine Anderson Quinones, MD

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.