Organization Active NPI

David J. Funsch, MD. PA.

  • Psychiatry Physician
  • Charleston, SC
National Provider Identifier
1669438206
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15995 Issued in SC
Legal business name
DAVID J. FUNSCH, MD. PA.
Practice address
1 Poston Rd
Parkshore Centre, Suite 145
Charleston, SC 29407-3424
Phone
(843) 556-4157
Fax
(843) 763-8747
NPI assigned
Apr 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David John Funsch, MD
Title
President
Phone
(843) 556-4157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 15995 SC Primary

Addresses

Primary practice location

1 Poston Rd
Parkshore Centre, Suite 145
Charleston, SC 29407-3424

Mailing address

1 Poston Rd
Parkshore Centre, Suite 145
Charleston, SC 29407-3424
Phone (843) 556-4157

Other identifiers 1

IdentifierTypeStateIssuer
155950MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
David J Funsch MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669438206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 POSTON RD",
            "address_2": "PARKSHORE CENTRE, SUITE 145",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073424",
            "telephone_number": "843-556-4157",
            "fax_number": "843-763-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 POSTON RD",
            "address_2": "PARKSHORE CENTRE, SUITE 145",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073424",
            "telephone_number": "843-556-4157",
            "fax_number": "843-763-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. FUNSCH, MD. PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUNSCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-556-4157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "15995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155950",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.