Susan E Funk (NPI# 1841273331, PAC ID# 1052303187) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1841273331 |
| PAC ID by PECOS | 1052303187 |
| Professional Enrollment ID | I20040331000289 |
| Full Name | Susan E Funk |
| Organization Legal Name | SMITH MOUNTAIN LAKE FAMILY PRACTICE, PC |
| Address |
70 Westwind Rd Moneta VA 24121-3726 |
| Phone Number | 5407217333 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1988 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4789679291 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490088 | CENTRA BEDFORD MEMORIAL HOSPITAL |
| 490089 | CARILION FRANKLIN MEMORIAL HOSPITAL |
| 490021 | CENTRA |
| Address | Phone | Organization |
|---|---|---|
| 70 Westwind Rd, Moneta, VA 24121-3726 | 5407217333 | SMITH MOUNTAIN LAKE FAMILY PRACTICE, PC |
| Organization Legal Name | SMITH MOUNTAIN LAKE FAMILY PRACTICE, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany A Powell | Family Medicine | Smith Mountain Lake Family Practice, PC | 70 Westwind Rd, Moneta, VA 24121-3726 |
| Steven T Lewis | Family Medicine | Smith Mountain Lake Family Practice, PC | 70 Westwind Rd, Moneta, VA 24121-3726 |
| Street Address |
70 WESTWIND RD |
| City | MONETA |
| State | VA |
| Zip | 24121-3726 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany A Powell | Family Medicine | Smith Mountain Lake Family Practice, PC | 70 Westwind Rd, Moneta, VA 24121-3726 |
| Steven T Lewis | Family Medicine | Smith Mountain Lake Family Practice, PC | 70 Westwind Rd, Moneta, VA 24121-3726 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Smalley | Orthopedic Surgery | Lewis Gale Physicians LLC | 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 |
| Allison Ryan Mitchell | Physician Assistant | Lewis Gale Physicians LLC | 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 |
| Matthew B Bowles | Physician Assistant | Lewis Gale Physicians LLC | 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 |
| Bradford T Herlehy | Chiropractic | 70 Scruggs Rd, Suite 106, Moneta, VA 24121-5199 | |
| Jacqueline Perdue | Physician Assistant | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Patricia Z Lloyd | Physician Assistant | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Jennifer E Phillips | Nurse Practitioner | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Patricia H Hayes | Nurse Practitioner | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Virginia L Blanks | Family Medicine | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Kathryn L Sparhawk | Family Medicine | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Find all physicians in zip 24121 | |||
| City | MONETA |
| Zip Code | 24121 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MONETA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Susan E Funk.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.