Active NPI
Daniel A Funk, MD
- Orthopaedic Surgery Physician
- Cincinnati, OH
National Provider Identifier
1760489249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35053366
- Practice address
- 3950 Red Bank Rd
Cincinnati, OH 45227-3429 - Phone
- (513) 333-2580
- Fax
- (513) 333-2584
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35053366 | OH | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 35053366 | OH |
Addresses
Primary practice location
3950 Red Bank Rd
Cincinnati, OH 45227-3429
Mailing address
237 William Howard Taft, Phys Div
2ND FL, Cbo2-3, Attn: Credentialing
Cincinnati, OH 45219-2906
Phone (513) 263-8571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0683676 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35053366 | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christ Hospital Orthopedic Associates LLC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Cincinnati, OH
- NPI 1376859181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418947200000",
"number": "1760489249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 WILLIAM HOWARD TAFT, PHYS DIV",
"address_2": "2ND FL, CBO2-3, ATTN: CREDENTIALING",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192906",
"telephone_number": "513-263-8571",
"fax_number": "513-366-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 RED BANK RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452273429",
"telephone_number": "513-333-2580",
"fax_number": "513-333-2584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "DANIEL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2014-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35053366",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "OH",
"license": "35053366",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0683676",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.