DR. CHRISTOPHER EDWARD FUNDAKOWSKI (NPI# 1588836126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588836126 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER EDWARD FUNDAKOWSKI |
| Credential | M.D. |
| Practice Address |
925 Chestnut St Fl 6 Philadelphia PA 19107 |
| Mailing Address |
925 Chestnut St Fl 6 Philadelphia PA 19107-4204 |
| Practice Telephone | 2159556784 |
| Practice Fax Number | 2159234532 |
| Mailing Telephone | 2159556784 |
| Mailing Fax Number | 2159234532 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2018-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD451417 | PA | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | MD49551 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3509 N Broad St, Philadelphia, PA 19140 | 2157073663 | 2157076417 |
| 3601 Tvc, Nashville, TN 372320001 | 6153223000 |
| Street Address |
925 CHESTNUT ST FL 6 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730169798 | Dennis C Fitzgerald | Otolaryngology | 925 Chestnut St Fl 6, Philadelphia, PA 19107-4204 | 2006-01-18 |
| 1437788155 | Dev Raj Amin | Student in an Organized Health Care Education/Training Program | 925 Chestnut St Fl 6, Philadelphia, PA 19107-4204 | 2020-04-04 |
| 1134758980 | Annie Elizabeth Moroco | Otolaryngology | 925 Chestnut St Fl 6, Philadelphia, PA 19107-4204 | 2020-04-03 |
| 1376172163 | Dylan Gregory Bertoni | Student in an Organized Health Care Education/Training Program | 925 Chestnut St Fl 6, Philadelphia, PA 19107-4204 | 2020-04-03 |
| 1396374138 | Chase Kahn | Student in an Organized Health Care Education/Training Program | 925 Chestnut St Fl 6, Philadelphia, PA 19107-4204 | 2020-04-03 |
| 1447818398 | Ayan Tyagi Kumar | Student in an Organized Health Care Education/Training Program | 925 Chestnut St Fl 6, Philadelphia, PA 19107-4204 | 2019-06-04 |
| 1023675899 | Cassidy Anne Mcmonigle | Audiologist | 925 Chestnut St Fl 6, Philadelphia, PA 19107-4204 | 2019-05-28 |
| 1235793266 | Chihun Jim Han | Student in an Organized Health Care Education/Training Program | 925 Chestnut St Fl 6, Philadelphia, PA 19107-4204 | 2019-04-25 |
| 1134782527 | Sana Hiba Siddiqui | Student in an Organized Health Care Education/Training Program | 925 Chestnut St Fl 6, Philadelphia, PA 19107-4204 | 2019-04-21 |
| 1144883521 | Aarti Agarwal | Student in an Organized Health Care Education/Training Program | 925 Chestnut St Fl 6, Philadelphia, PA 19107-4204 | 2019-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790278372 | Vishaal Patel | Otolaryngology | 3440 N Broad St # 300, Philadelphia, PA 19140-5104 | 2018-06-08 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1912313792 | Julie Paige Shtraks | Otolaryngology | 205 N Broad St Ste 401, Philadelphia, PA 19107-1553 | 2014-07-01 |
| 1639585417 | Steven A Zuniga Jr. | Otolaryngology | 2201 Pennsylvania Ave Apt 111, Philadelphia, PA 19130-3512 | 2014-07-01 |
| 1952711574 | Anne Morgan Selleck | Otolaryngology | 145 S 13th St Apt 705, Philadelphia, PA 19107-4930 | 2014-05-05 |
| 1245659911 | Kirkland N Lozada | Otolaryngology | 3737 Market St Fl 3, Philadelphia, PA 19104-5545 | 2014-04-10 |
| 1225311798 | Amanda Chia-ming Hu | Otolaryngology | 219 N Broad St Fl 10, Philadelphia Ear Nose & Throat Associates, Philadelphia, PA 19107-1506 | 2011-09-21 |
| 1942471131 | A J Woodring Md Associates | Otolaryngology | 1841 S 15th St, Philadelphia, PA 19145-2301 | 2008-03-17 |
| 1811007487 | Ent R Net Pa | Otolaryngology | 4190 City Line Avenue, Suite 526, Philadelphia, PA 19131-1635 | 2006-08-30 |
| 1750315388 | Edward B Gaynor | Otolaryngology | 1500 North 39th Street, Philadelphia, PA 19104 | 2006-07-10 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.