FUNCTIONAL HEALTH, LLC (NPI# 1922237536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922237536 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL HEALTH, LLC |
| Other Organization Name | MIDWEST SKIN INSTITUTE |
| Practice Address |
8601 N Kentucky Ave Suite I Evansville IN 47725-6371 |
| Practice Telephone | 8124916772 |
| Practice Fax Number | 8124910758 |
| Mailing Telephone | 8124916772 |
| Mailing Fax Number | 8124910758 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |
| Authorized Official Name | STACEY KAHRE (CO-OWNER) |
| Authorized Official Telephone | 8124916772 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
71001222A | IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Midwest Skin Institute | Doing Business As Name - Organization |
| Street Address |
8601 N KENTUCKY AVE SUITE I |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47725-6371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912297318 | Mccleary Chiropractic Clinic PC | Chiropractor | 8601 N Kentucky Ave, Suite I, Evansville, IN 47725-6371 | 2011-04-19 |
| 1053543363 | Jamie K. Titzer | Registered Nurse | 8601 N Kentucky Ave, Evansville, IN 47725-6371 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104317346 | Tri State Community Clinic, LLC | Family Medicine | 1033 E Mt. Pleasant Rd., Ste. D., Evansville, IN 47725 | 2018-05-23 |
| 1235502774 | Hook-superx, L.L.C. | Registered Nurse | 600 E Boonville New Harmony Rd, Evansville, IN 47725 | 2015-11-05 |
| 1346556388 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 511 E. Boonville - New Harmony Rd, Evansville, IN 47725 | 2010-08-27 |
| 1720112071 | Roger Lee Tindle | Pharmacist | 12500 N Hwy 41, Evansville, IN 47725 | 2007-03-16 |
| 1750413670 | Elizabeth Marilyn Hobbs | Physical Therapy Assistant | 8700a N. Kentucky Ave, Evansville North -phr, Evansville, IN 47725 | 2007-03-09 |
| 1134215841 | Cindy K Mcwilliams | Speech-Language Pathologist | 15601 Darmstadt Road, Evansville, IN 47725 | 2006-10-04 |
| 1891735171 | Brian Becker | Anesthesiology | 13000 Woodland Ln, Evansville, IN 47725 | 2006-06-07 |
| 1003311309 | Megan E Tate | Nurse Practitioner | 8600 N Kentucky Ave, Evansville, IN 47725 | 2018-03-28 |
| 1316497811 | St. Mary's Medical Center of Evansville | Pharmacy | 14020 Old State Rd, Evansville, IN 47725 | 2016-10-07 |
| 1730560376 | Megan J York | Pediatrics | 14020 Old State Rd # 300, Evansville, IN 47725 | 2015-06-09 |
| Find all providers in zip 47725 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1396291522 | Quadmed LLC | Clinic/Center | 101 County Highway M, Evansville, WI 53536 | 2016-08-28 |
| 1861869760 | Smith Family Medicine | Clinic/Center | 8128 Lincoln Ave, Apt. C, Evansville, IN 47715-7236 | 2015-08-26 |
| 1801171004 | Selcare LLC | Clinic/Center | 5010 Davis Lant Dr, Evansville, IN 47715-8947 | 2011-10-19 |
| 1811442114 | Activate Healthcare - Old National Bank | Clinic/Center | 123 Main St, Evansville, IN 47708-1447 | 2016-08-17 |
| 1295289601 | Careatc - Evansville Clinic | Clinic/Center | 1212 Saint George Rd, Evansville, IN 47711-2364 | 2016-08-15 |
| 1851525539 | Tristate Assoc of Internal Medicine | Clinic/Center | 827 S Green River Rd, Evansville, IN 47715-4105 | 2009-05-08 |
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| 1306453626 | Calvary Assembly of God of Demotte, Inc. | Clinic/Center | 1317 15th St. Se, Demotte, IN 46310-9393 | 2020-09-30 |
| 1528683919 | Urban Family Care, LLC | Clinic/Center | 336 Augusta Ln, West Lafayette, IN 47906-8721 | 2020-06-11 |
| 1952924896 | W. Lafayette Health Center | Clinic/Center | 2701b Kent Ave, W Lafayette, IN 47906-1350 | 2020-05-27 |
| 1710525175 | Proactive - South Newton | Clinic/Center | 1388 South 50 East, Kentland, IN 47951 | 2019-12-17 |
| 1902443781 | Proactive - Edinburgh Dpc | Clinic/Center | 220 N Pleasant St, Edinburgh, IN 46124-1300 | 2019-11-29 |
| 1063058311 | Proactive - Eastern Pulaski | Clinic/Center | 715 School Dr, Winamac, IN 46996-1584 | 2019-11-21 |
| 1275179541 | Proactive - New Prairie | Clinic/Center | 605 E Michigan St, Rolling Prairie, IN 46371-9576 | 2019-11-21 |
| 1982255667 | Careatc | Clinic/Center | 59427 County Road 13, Elkhart, IN 46517-3503 | 2019-09-24 |
| 1134777824 | Activate Healthcare - Mcoe Clinic | Clinic/Center | 6920 Parkdale Pl Ste 100, Indianapolis, IN 46254-5604 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47725 |
Please comment or provide details below to improve the information on FUNCTIONAL HEALTH, LLC.
| 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.