MICHAEL FUNKE (NPI# 1497167969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497167969 |
Entity Type | Individual |
Full Name | MICHAEL FUNKE |
Credential | M.D. |
Practice Address |
6410 Fannin St Suite 732 Houston TX 77030-3000 |
Practice Telephone | 7135007103 |
Practice Fax Number | 7135000530 |
Mailing Telephone | 7135007103 |
Mailing Fax Number | 7135000530 |
Enumeration Date | 2014-06-02 |
Last Update Date | 2014-06-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
44459 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TEMPORARY INSTITUTIONAL LICENSE, TEXAS MEDICAL BOARD | 44459 | 01 |
Street Address |
6410 FANNIN ST SUITE 732 |
City | HOUSTON |
State | TX |
Zip Code | 77030-3000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497758130 | Raymond A. Martin | Psychiatry & Neurology | 6410 Fannin St, Ste 1014, Houston, TX 77030-3000 | 2005-05-26 |
1841803756 | Bethany Wright Moura | Pediatrics | 6410 Fannin St, Houston, TX 77030-3000 | 2020-08-29 |
1922637255 | Brittany Dionne Jones-linares | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Suite Msb 4.020, Houston, TX 77030-3000 | 2020-04-08 |
1952933756 | Tania E De Los Reyes | Dietitian, Registered | 6410 Fannin St, Houston, TX 77030-3000 | 2020-02-10 |
1295296218 | Braden Fraser Goldberg | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Houston, TX 77030-3000 | 2019-03-31 |
1073089827 | Alana Claire Cecchi | Genetic Counselor, MS | 6410 Fannin St, Houston, TX 77030-3000 | 2018-10-19 |
1609350370 | Dianna Joann Schmeda | Nurse Practitioner | 6410 Fannin St, Suite 950, Houston, TX 77030 | 2018-09-19 |
1770073645 | April Laquinta Moore | Nurse Practitioner | 6410 Fannin St, Houston, TX 77030-3000 | 2018-05-15 |
1639669872 | Ezra Yujin Koh | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Suite 1400, Houston, TX 77030-3000 | 2018-05-14 |
1093210163 | Mesk Alrais | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Houston, TX 77030-3000 | 2018-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
Find all providers in zip 77030 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205284619 | Asha Davidson | Pediatrics | 6431 Fannin St Ste Msb 3126, Houston, TX 77030-1501 | 2016-05-25 |
1699018705 | Steven Anthony Ricondo | Pediatrics | 6701 Fannin St Ste 1710, Houston, TX 77030-2616 | 2013-03-27 |
1568708006 | Marvin Ray Raley | Pediatrics | 1221 Welch St Apt 2, Houston, TX 77006-1180 | 2013-01-02 |
1497827257 | Seymour H Goldberg | Pediatrics | 7900 Fannin St Ste 3250, Houston, TX 77054-2935 | 2006-11-15 |
1063412807 | Syed Hassan Mehdi Rizvi | Pediatrics | 902 Frostwood Dr Ste 142, Houston, TX 77024-2401 | 2005-07-22 |
1932452372 | Meghna Raju Sebastian | Pediatrics | 6701 Fannin St, Suite 1710.00, Houston, TX 77030-2608 | 2012-10-23 |
1093020117 | Rosabelle Via Mcconkey | Pediatrics | 13114 Fm 1960 Rd W, #114, Houston, TX 77065-4290 | 2010-08-12 |
1033380480 | Sherine Alicia Patterson-rose | Pediatrics | 12667 Bissonnet St, Houston, TX 77099-1331 | 2008-03-13 |
1831374313 | Gurney F. Pearsall Md Pa | Pediatrics | 7900 Fannin St, Suite 3200, Houston, TX 77054-2934 | 2008-01-03 |
1760505838 | Synagis Management, Pa | Pediatrics | 9220 Kirby Dr, 1000, Houston, TX 77054-2500 | 2007-04-06 |
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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.