RENEE ELIZABETH FUNCHES (NPI# 1023293701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023293701 |
| Entity Type | Individual |
| Full Name | RENEE ELIZABETH FUNCHES |
| Credential | M.D. |
| Practice Address |
12255 Fair Lakes Pkwy Kaiser Permanente Fair Oaks Medical Center Fairfax VA 22033-3952 |
| Mailing Address |
2101 E Jefferson St Kaiser Permanente Medicare Enrollment Rockville MD 20852-4908 |
| Practice Telephone | 7039345700 |
| Mailing Telephone | 3018162424 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2012-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2061 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0101251300 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
12255 FAIR LAKES PKWY KAISER PERMANENTE FAIR OAKS MEDICAL CENTER |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-3952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776591 | Michael Scott Wenzel | Family Medicine | 12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033-3952 | 2005-08-02 |
| 1962027755 | Saly Damigou Moukdagou | Registered Nurse | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2020-06-08 |
| 1114565298 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2019-12-19 |
| 1013367564 | Andaleeb Rahman | Family Medicine | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2016-06-15 |
| 1689062978 | Thuy-trinh Tran | Pharmacist | 12255 Fair Lakes Pkwy, Pharmacy Department, Fairfax, VA 22033-3952 | 2015-01-08 |
| 1871901645 | Anahita Aminshokravi | Optometrist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2014-07-24 |
| 1609209980 | Urvi P Shah | Physical Therapist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2013-08-09 |
| 1326381823 | Lujuana Faye Hairston | Pharmacist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2013-04-03 |
| 1679815708 | Peter Ho | Pharmacist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2013-03-27 |
| 1306188610 | Kimberly Marie Balaban | Pharmacist | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | 2013-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942412564 | Sekwon Jang | Internal Medicine | 8505 Arlington Blvd Ste 140, Fairfax, VA 22031 | 2007-05-04 |
| 1669496881 | William B Ershler | Internal Medicine | 8501 Arlington Blvd Ste 340, Fairfax, VA 22031 | 2006-07-27 |
| 1043211006 | Medical Oncology and Hematology Assoc of Northern Virginia | Internal Medicine | 8501 Arlington Blvd, Suite 340, Fairfax, VA 22031-4617 | 2005-08-02 |
| 1972860807 | Hematology Oncology Care of Northern Virginia PC | Internal Medicine | 3022 Williams Dr, Suite 100, Fairfax, VA 22031-4600 | 2012-04-17 |
| 1881963403 | Timothy Andrew Mccarthy | Internal Medicine | 8503 Arlington Blvd, Suite 400, Fairfax, VA 22031-4628 | 2011-12-28 |
| 1255642849 | Marion Cole | Internal Medicine | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2010-06-29 |
| 1093941114 | Eun-mi Yu | Internal Medicine | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2009-06-03 |
| 1942462601 | Daniel Gene Chong | Internal Medicine | 8503 Arlington Blvd, Suite 400, Fairfax, VA 22031-4628 | 2008-06-25 |
| 1346417888 | Hematology Oncology Care | Internal Medicine | 3700 Joseph Siewick Dr, Suite 202, Fairfax, VA 22033-1744 | 2008-05-14 |
| 1376719906 | Timothy L Cannon | Internal Medicine | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2008-05-04 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.