Thomas Funcik

Primary specialty

SpecialistTaxonomy code 174400000X

License

15088 Issued in SC

Practice address

1280 Johnnie Dodds Blvd Unit 101
Mount Pleasant, SC 29464-3285

Phone

(843) 884-3277

Fax

(843) 884-6992

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Plastic and Reconstructive Surgery

Education

University of North Carolina at Chapel Hill School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ulm Center for Plastic Surgery LLC

  • Plastic Surgery Physician
  • Mt Pleasant, SC
  • NPI 1285145037
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1427105964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 BRICKSIDE LN",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667180",
            "telephone_number": "843-884-3277",
            "fax_number": "843-884-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 JOHNNIE DODDS BLVD UNIT 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643285",
            "telephone_number": "843-884-3277",
            "fax_number": "843-884-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNCIK",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "15088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Friedrich
• Richard Francis Frisch Jr., M.D.
• From Here to Maternity of SC, Inc.
• Laura O'Brien Fromdahl, MSPT
• Faith Noelle Fucetola
• Functional Living Medical Equipment, LLC
• Functional Therapy Solutions LLC
• Carrie D Funkhauser, M.D.
• Nathan Joseph Fusco, P.T.
• Fusion Medical Solutions

• Specialist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.

Verify at the official NPI Registry.