Active NPI
David J. Funsch, MD. PA.
- Psychiatry Physician
- Charleston, SC
National Provider Identifier
1669438206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 15995
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155950 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- David J Funsch MD PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Charleston, SC
- NPI 1598966806
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.