Susan Funk, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101045558 Issued in VA

Practice address

2215 Landover PL
Lynchburg, VA 24501-2115

Phone

(434) 947-3944

Fax

(434) 544-2316

NPI assigned

Nov 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Smith Mountain Lake Family Practice PC

  • Family Medicine Physician
  • Moneta, VA
  • NPI 1023237021
  Medicare reassignment
• Carilion Healthcare Corporation

  dba Bridgewater College Student Health Center

  • Multi-Specialty Clinic/Center
  • Roanoke, VA
  • NPI 1447206370
  NPD (past)
• Centra Health Inc

  • General Acute Care Hospital
  • Lynchburg, VA
  • NPI 1770693939
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1841273331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11889",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245061889",
            "telephone_number": "434-947-3944",
            "fax_number": "434-544-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 LANDOVER PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012115",
            "telephone_number": "434-947-3944",
            "fax_number": "434-544-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101045558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "P00173401",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amatul Fulani
• Mu'Minah B Fulani
• Alexis Fulcher
• Carisma Denisha Fuller
• Jeffrey Alan Fulmer, LCSW
• Alisa Funke, MD
• Mandria L Fuqua, PA-C
• Angelina Renee Fusco
• Emily Gabel, PA-C
• Jacob Gachowski

• Internal Medicine Physician in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.