DR. RANDALL L FUNDERBURK (NPI# 1699771931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699771931 |
Entity Type | Individual |
Full Name | DR. RANDALL L FUNDERBURK |
Credential | M.D. |
Practice Address |
7268 Jarnigan Rd Suite 200 Chattanooga TN 37421-3097 |
Practice Telephone | 4235087337 |
Practice Fax Number | 4235087338 |
Mailing Telephone | 4235087337 |
Mailing Fax Number | 4235087338 |
Enumeration Date | 2005-06-22 |
Last Update Date | 2020-04-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | 13006 | TN | Allopathic & Osteopathic Physicians |
Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
MD-13006 | TN | Allopathic & Osteopathic Physicians |
Street Address |
7268 JARNIGAN RD SUITE 200 |
City | CHATTANOOGA |
State | TN |
Zip Code | 37421-3097 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477557148 | Daryl Francis Mann | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2005-06-09 |
1548719503 | Paige Thompson | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3096 | 2016-09-30 |
1922557032 | Spencer Sechler | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3096 | 2016-09-30 |
1942675954 | Rachel Lusk | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2015-12-02 |
1013305275 | Rachel L Brown | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2014-12-22 |
1992100390 | Reed B Parker | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2014-10-28 |
1780017483 | Luckson Previl | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2013-08-16 |
1184853947 | Thomas Peterson Lindquist | Ophthalmology | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2009-07-14 |
1588899488 | Carolee Marie Cutler Peck | Ophthalmology | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2009-05-20 |
1871748715 | Leslie Ann Phillips | Optometrist | 7268 Jarnigan Rd, Suite 200, Chattanooga, TN 37421-3097 | 2008-11-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
Find all providers in zip 37421 |
Taxonomy Code | 207WX0107X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Retina Specialist |
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801892146 | Richard I Breazeale | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2005-06-22 |
1669478996 | Howard Lee Cummings | Ophthalmology | 2412 N John B Dennis Hwy, Kingsport, TN 37660-4772 | 2005-06-22 |
1861495780 | Steve T Charles | Ophthalmology | 1432 Kimbrough Rd, Germantown, TN 38138-2405 | 2005-05-24 |
1548760234 | Matt Katz, Md, PC | Ophthalmology | 342 22nd Ave N, Nashville, TN 37203-1844 | 2018-02-19 |
1134515042 | Adam Pflugrath | Ophthalmology | 1432 Kimbrough Rd, Germantown, TN 38138-2405 | 2015-04-08 |
1619298262 | Devon Ghodasra | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2010-06-17 |
1992022800 | Stephen Michael Huddleston | Ophthalmology | 1432 Kimbrough Rd, Germantown, TN 38138-2405 | 2010-05-01 |
1811139470 | Rohan Shah | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2009-03-29 |
1871627554 | Francis C Decroos | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2007-03-15 |
1376644476 | Robert Keith Shuler Jr. | Ophthalmology | 1124 E Weisgarber Rd, Suite 207, Knoxville, TN 37909-2686 | 2006-09-25 |
Find all providers with the same taxonomy |
City | CHATTANOOGA |
Zip Code | 37421 |
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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.