Nicole Elaine Funt (NPI# 1073575205, PAC ID# 6305742099) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1073575205 |
| PAC ID by PECOS | 6305742099 |
| Professional Enrollment ID | I20031211001112 |
| Full Name | Nicole Elaine Funt |
| Organization Legal Name | MT. LEBANON DERMATOLOGY PC |
| Address |
160 Millers Run Rd Bridgeville PA 15017-1320 |
| Phone Number | 4124400270 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8921045444 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390228 | ST CLAIR HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 160 Millers Run Rd, Bridgeville, PA 15017-1320 | 4124400270 | MT. LEBANON DERMATOLOGY PC |
| 607 Washington Rd, Lower Level, Pittsburgh, PA 15228-1962 | 4124400270 | MT. LEBANON DERMATOLOGY PC |
| Organization Legal Name | MT. LEBANON DERMATOLOGY PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Safyan | Dermatology | Mt. Lebanon Dermatology PC | 607 Washington Rd, Lower Level, Pittsburgh, PA 15228-1962 |
| Jason George Whalen | Dermatology | Mt. Lebanon Dermatology PC | 607 Washington Rd, Lower Level, Pittsburgh, PA 15228-1962 |
| Gretchen M Kreizenbeck | Dermatology | Mt. Lebanon Dermatology PC | 607 Washington Rd, Lower Level, Pittsburgh, PA 15228-1962 |
| Loren S Funt | Dermatology | Mt. Lebanon Dermatology PC | 160 Millers Run Rd, Bridgeville, PA 15017-1320 |
| Street Address |
160 MILLERS RUN RD |
| City | BRIDGEVILLE |
| State | PA |
| Zip | 15017-1320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Loren S Funt | Dermatology | Mt. Lebanon Dermatology PC | 160 Millers Run Rd, Bridgeville, PA 15017-1320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Darocy | Certified Registered Nurse Anesthetist (crna) | Regional Anesthesia Experts PC | 701 Boyce Rd, Bridgeville, PA 15017-1225 |
| Rachel E Stahurski | Certified Registered Nurse Anesthetist (crna) | Regional Anesthesia Experts PC | 701 Boyce Rd, Bridgeville, PA 15017-1225 |
| Lori L Cherup | Plastic and Reconstructive Surgery | 701 Boyce Rd, Bridgeville, PA 15017-1225 | |
| Adam P Childers | Anesthesiology | Regional Anesthesia Experts PC | 701 Boyce Rd, Bridgeville, PA 15017-1225 |
| Stephen O Bader | Anesthesiology | Regional Anesthesia Experts PC | 701 Boyce Rd, Bridgeville, PA 15017-1225 |
| William B Ehrman | Anesthesiology | Regional Anesthesia Experts PC | 701 Boyce Rd, Bridgeville, PA 15017-1225 |
| Christopher J Germond | Anesthesiology | Regional Anesthesia Experts PC | 701 Boyce Rd, Bridgeville, PA 15017-1225 |
| Myron Nichol Senchyshak | Anesthesiology | Regional Anesthesia Experts PC | 701 Boyce Rd, Bridgeville, PA 15017-1225 |
| Heather R Torris | Physical Therapy | 200 Old Pond Rd, Suite 106, Bridgeville, PA 15017-1269 | |
| Collette C Gibbons | Nurse Practitioner | Ravi Kant, Md PC | 300 Old Pond Rd, Suite 201, Bridgeville, PA 15017-1270 |
| Find all physicians in zip 15017 | |||
| City | BRIDGEVILLE |
| Zip Code | 15017 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BRIDGEVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nicole Elaine Funt.
| 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.