Organization Active NPI

Frank Fung PLLC

  • Specialist
  • Renton, WA
National Provider Identifier
1770746422
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0035164 Issued in WA
Legal business name
FRANK FUNG PLLC
Practice address
4033 Talbot Rd S Ste 430
Renton, WA 98055-5700
Phone
(425) 227-0231
NPI assigned
Jul 2, 2008
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Frank PS Fung, MD
Title
Owner
Phone
(425) 227-0231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0035164 WA Primary

Addresses

Primary practice location

4033 Talbot Rd S Ste 430
Renton, WA 98055-5700

Mailing address

4033 Talbot Rd S Ste 430
Renton, WA 98055-5700
Phone (425) 227-0231

Other identifiers 1

IdentifierTypeStateIssuer
1118280MedicaidWA

National Provider Directory

National Provider Directory

Locations

4033 Talbot Rd S
Ste 430
Renton, WA 98055
Phone (425) 227-0231

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1770746422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S STE 430",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555700",
            "telephone_number": "425-227-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S STE 430",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555700",
            "telephone_number": "425-227-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK FUNG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "PS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-227-0231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD0035164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1118280",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.