Mark R. Funk, M.D., L.L.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

016510 Issued in GA

Legal business name

MARK R. FUNK, M.D., L.L.C.

Practice address

700 Center St
Suite 503
Columbus, GA 31901-1546

Phone

(706) 322-0667

Fax

(706) 322-0873

NPI assigned

Oct 21, 2010

Last updated

Oct 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark R. Funk, M.D.

Title

Owner

Phone

(706) 322-0667

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1659681880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CENTER ST",
            "address_2": "SUITE 503",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011546",
            "telephone_number": "706-322-0667",
            "fax_number": "706-322-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CENTER ST",
            "address_2": "SUITE 503",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011546",
            "telephone_number": "706-322-0667",
            "fax_number": "706-322-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK R. FUNK, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-322-0667",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "016510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066701H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie's Personal Home Care
• Ashleigh Marion
• Mark a Lawrence DDS,PC
• Mark Lynn, O.D. & Associates, P.C. (Visionworks)
• Mark R. Fortson, M.D. P.C.
• Samuel Solomon Marks
• Marielena Reid Marlow, PA-C
• Lauren Lee Marquez, LPC, LLPC
• Alexandria Marsh, PHARMD
• Asia N Marsh

• Internal Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.