DR. STEPHEN KEITH FUNKHOUSER (NPI# 1154600633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154600633 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN KEITH FUNKHOUSER |
| Credential | D.O. |
| Practice Address |
1202 Medical Center Drive Attn: Credentialing Wilmington NC 28401-7307 |
| Practice Telephone | 9103413300 |
| Practice Fax Number | 9102512067 |
| Mailing Telephone | 9103413300 |
| Mailing Fax Number | 9102512067 |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2016-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 2016-01096 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1202 MEDICAL CENTER DRIVE ATTN: CREDENTIALING |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033171962 | Michele Deeley Stavovy | Physician Assistant | 1202 Medical Center Drive, Wilmington, NC 28401-7307 | 2006-04-05 |
| 1154412948 | Richard J Brannin | Physical Therapist | 1202 Medical Center Drive, Wilmington, NC 28401 | 2006-09-27 |
| 1275569188 | Linda M. Leck | Nurse Practitioner | 1202 Medical Center Drive, Attn: Credentialing, Wilmington, NC 28401-7307 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437390358 | Thao-ly Phan | Hospitalist | 1600 Rockland Rd., Wilmington, DE 19803-6040 | 2009-03-23 |
| 1881200475 | Adfinitas Health of Ohio, LLC | Hospitalist | 610 W Main St, Wilmington, OH 45177-2194 | 2020-09-18 |
| 1801325717 | Delaware Post Acute Medical Services 1 Pa | Hospitalist | 501 W 14th St, Wilmington, DE 19801-1038 | 2017-06-06 |
| 1518491927 | Wendy Laura Atkinson | Hospitalist | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2017-04-13 |
| 1093247611 | Prasheen Piyush Shah | Hospitalist | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2017-04-02 |
| 1790148062 | Charles Hoggard | Hospitalist | 2131 S 17th St, Wilmington, NC 28401-7407 | 2016-04-03 |
| 1831576974 | Todd Bibb | Hospitalist | 2131 S 17th St, Wilmington, NC 28401-7407 | 2015-04-28 |
| 1740676709 | Eric Hansberry | Hospitalist | 2131 S 17th St, Wilmington, NC 28401-7407 | 2015-04-07 |
| 1073908828 | Udoaku Lintula | Hospitalist | 2131 S 17th St, Wilmington, NC 28401-7407 | 2015-03-30 |
| 1760886758 | Ekta Agarwal | Hospitalist | 701 N Clayton St, Wilmington, DE 19805-3165 | 2014-10-20 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.