Organization Active NPI

Dr. J.L. Funkhouser

  • Family Medicine Physician
  • New Brighton, PA
National Provider Identifier
1588847487
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD028347L Issued in PA
Legal business name
DR. J.L. FUNKHOUSER
Practice address
721 5TH Ave
New Brighton, PA 15066-1836
Phone
(724) 846-5250
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Dr. Jay L Funkhouser
Title
MD
Phone
(724) 846-5250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD028347L PA Primary

Addresses

Primary practice location

721 5TH Ave
New Brighton, PA 15066-1836

Mailing address

721 5TH Ave
New Brighton, PA 15066-1836
Phone (724) 846-5250

National Provider Directory

National Provider Directory

Locations

721 5th Ave
New Brighton, PA 15066
Phone (724) 846-5250

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1588847487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 5TH AVE",
            "city": "NEW BRIGHTON",
            "state": "PA",
            "postal_code": "150661836",
            "telephone_number": "724-846-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 5TH AVE",
            "city": "NEW BRIGHTON",
            "state": "PA",
            "postal_code": "150661836",
            "telephone_number": "724-846-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. J.L. FUNKHOUSER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "FUNKHOUSER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "724-846-5250",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD028347L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.