DR. WENDELL LAVERN FUNK (NPI# 1326151499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326151499 |
| Entity Type | Individual |
| Full Name | DR. WENDELL LAVERN FUNK |
| Credential | MD |
| Practice Address |
230 Harrisburg Ave Suite 7 Lancaster PA 17603-2959 |
| Practice Telephone | 7172999551 |
| Practice Fax Number | 7173999266 |
| Mailing Telephone | 7172999551 |
| Mailing Fax Number | 7173999266 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
MD019811-E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0812284 | 05 |
| Street Address |
230 HARRISBURG AVE SUITE 7 |
| City | LANCASTER |
| State | PA |
| Zip Code | 17603-2959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750345278 | Susan Teri Mcgillis | Dermatology | 230 Harrisburg Ave, Ste 4, Lancaster, PA 17603-2959 | 2006-04-13 |
| 1386941987 | Daniel T O'donnell | Dentist | 230 Harrisburg Ave, Lancaster, PA 17603 | 2011-02-16 |
| 1871776492 | Lawrence Marshall Field | Dermatology | 230 Harrisburg Ave, Suite 4, Lancaster, PA 17603-2959 | 2007-12-06 |
| 1497975460 | O'donnell and Phillips LLC | Dentist | 230 Harrisburg Ave, Suite 5, Lancaster, PA 17603-2959 | 2007-05-01 |
| 1619006210 | Christian A Silvaggio | Dentist | 230 Harrisburg Ave, Lancaster, PA 17603-2959 | 2007-03-02 |
| 1245386556 | Dermasurgery Center, P.C. | Dermatology | 230 Harrisburg Ave, Ste 4, Lancaster, PA 17603 | 2007-01-27 |
| 1659468627 | Joseph Michael Kosakoski Jr. | Family Medicine | 230 Harrisburg Ave, Suite 8, Lancaster, PA 17603-2959 | 2006-10-09 |
| 1083712699 | Rudolph F Rigano Jr. | Internal Medicine | 230 Harrisburg Ave, Suite 2, Lancaster, PA 17603-2959 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757311 | Meadow Grove Counseling, LLC | Counselor | 822 Marietta Avenue, Lancaster, PA 17603 | 2020-07-06 |
| 1386274355 | Bristeena K Peter | Registered Nurse | 122 Broadstone St, Lancaster, PA 17603 | 2020-01-18 |
| 1164926457 | Kelly Fickett | Registered Nurse | 100 Rohrstown Rd, Suite A, Lancaster, PA 17603 | 2018-03-21 |
| 1063929115 | Lancaster Behavioral Health Hospital LLC | Psychiatric Hospital | 333 Harrisburg Ave, Lancaster, PA 17603 | 2018-01-10 |
| 1659880458 | Young Men's Christian Association of Lancaster County | Health Educator | 265 Harrisburg Ave, Lancaster, PA 17603 | 2017-09-25 |
| 1447779228 | Joshua Michael Saez | Licensed Practical Nurse | 410 N Prince St., Lancaster, PA 17603 | 2017-09-13 |
| 1689190126 | Leeann Koch | Audiologist | 2160 Noll Drive, Suite 100, Lancaster, PA 17603 | 2017-08-16 |
| 1972950327 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 354 N. Prince Street, Suite 120, Lancaster, PA 17603 | 2016-05-16 |
| 1366804833 | Yesenia Colon Rivera | Psychologist | 812 North Prince St., Lancaster, PA 17603 | 2016-03-24 |
| 1073975959 | Laura Morse | Counselor | 48 N Queen St, Lancaster, PA 17603 | 2016-03-22 |
| Find all providers in zip 17603 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154483030 | Today's Cosmetic Surgery and Laser Center, P.C. | Plastic Surgery | 100 Stoops Dr Ste 240, Monongahela, PA 15063-3553 | 2006-12-15 |
| 1649216524 | Gunnar Eo Bergqvist | Plastic Surgery | 410 Cranberry St, Suite 310, Erie, PA 16507-1067 | 2006-06-21 |
| 1619163706 | Aesthetic Facial Plastic Surgery Center, Inc. | Plastic Surgery | 101 Chesley Dr, Georgtown Building, Media, PA 19063-1761 | 2007-09-21 |
| 1992742282 | Jonathan Pontell | Plastic Surgery | 303 W Lancaster Ave, Suite 1a, Wayne, PA 19087-3938 | 2006-06-02 |
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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.