DR. JASON GLEN FUNDERBURK (NPI# 1104883966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104883966 |
| Entity Type | Individual |
| Full Name | DR. JASON GLEN FUNDERBURK |
| Credential | MD |
| Practice Address |
116 Concord Rd Suite 500 Knoxville TN 37934-2940 |
| Practice Telephone | 8657776880 |
| Mailing Telephone | 8657776880 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2014-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
47153 | TN | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
4301102162 | MI | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
ME 93065 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891001947 | Jason Funderburk | Pharmacist | 6404 S Mcclintock Dr, Tempe, AZ 85283-3942 | 2010-08-27 |
| Street Address |
116 CONCORD RD SUITE 500 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37934-2940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821346107 | Midstate Medical Associates Pllc | Family Medicine | 116 Concord Rd, Ste 400, Knoxville, TN 37934-2940 | 2012-08-17 |
| 1114285400 | Tennessee Innovative Medical Services Pllc | Radiology | 116 Concord Rd, Ste 400, Knoxville, TN 37934-2940 | 2012-04-25 |
| 1023034576 | Foot & Ankle Institute of Knoxville, Pllc | Clinic/Center | 116 Concord Rd, Suite 300, Knoxville, TN 37934-2940 | 2006-07-15 |
| 1265467922 | Dagon J Percer | Podiatrist | 116 Concord Rd, #300, Knoxville, TN 37934-2940 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780905 | Knoxville Dentistry Group Pllc | Clinic/Center | 1119 Kingston Pike, Knoxville, TN 37934 | 2020-02-03 |
| 1073087714 | Farragut Modern Dentistry, PC | Dentist | 109 Campbell Station Rd., Farragut, TN 37934 | 2019-01-16 |
| 1669949764 | Cynthia Boger | Optometrist | 11289 Parkside Dr Spc 1108, Knoxville, TN 37934 | 2018-10-26 |
| 1306385927 | Lindsey A Kelley | Registered Nurse | 11217 West Point Drive, Suite 2, Knoxville, TN 37934 | 2017-02-15 |
| 1740736487 | Julie Noll | Occupational Therapy Assistant | 312 Rockwell Farm Lane, Knoxville, TN 37934 | 2016-09-01 |
| 1457719411 | Adrianne Whitelaw | Occupational Therapist | 10717 Deep Woods Lane, Knoxville, TN 37934 | 2016-02-05 |
| 1821486150 | Will Parrott | Physical Therapy Assistant | 917 Weatherly Hills Blvd, Knoxville, TN 37934 | 2015-01-09 |
| 1679988380 | Lutheran Medical Center | Health Maintenance Organization | 305 Dominick Pont, Knoxville, TN 37934 | 2014-06-23 |
| 1518396761 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 10930 Parkside Dr., Knoxville, TN 37934 | 2013-11-08 |
| 1770879090 | Meredith Tonks | Optometrist | 12744 Kingston Pike Ste 108, Knoxville, TN 37934 | 2011-06-24 |
| Find all providers in zip 37934 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689004285 | Association of University Radiologists, PC | Radiology | 1926 Alcoa Hwy, Bldg F Ste 400, Knoxville, TN 37920-1545 | 2013-11-18 |
| 1073942041 | Association of University Radiologists, PC | Radiology | 1926 Alcoa Hwy, Medical Bldg C Ste 290, Knoxville, TN 37920-1545 | 2013-11-11 |
| 1114285400 | Tennessee Innovative Medical Services Pllc | Radiology | 116 Concord Rd, Ste 400, Knoxville, TN 37934-2940 | 2012-04-25 |
| 1518004076 | Laura Katherine Findeiss | Radiology | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2007-01-31 |
| 1013987296 | Scott A Wegryn | Radiology | 2001 Laurel Ave, Suite N304, Knoxville, TN 37916-1810 | 2006-01-23 |
| 1164402715 | Britton Keith Woodward | Radiology | 2001 Laurel Ave, Suite N304, Knoxville, TN 37916-1810 | 2006-01-19 |
| 1972506178 | Peter Kvamme | Radiology | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277042 | Via Institutes Pllc | Radiology | 8886 Classic Dr, Memphis, TN 38125-8839 | 2020-05-18 |
| 1609334713 | Paul Wooten | Radiology | 1729 Curie St, Alcoa, TN 37701-1700 | 2019-03-07 |
| 1295112498 | David R Zielske | Radiology | 839 Treemont Ct, Nashville, TN 37220-1536 | 2015-04-27 |
| 1760820625 | John Dalton Braun | Radiology | 7600 Wolf River Blvd Ste 200, Germantown, TN 38138 | 2013-06-12 |
| 1942551270 | Sam J Williams IIi | Radiology | 1610 Shore View Ln, Hixson, TN 37343-4646 | 2012-09-26 |
| 1144485418 | Vijaykumar Agrawal | Radiology | 865 Jefferson Avenue Department of Radiology, F150 Chandler, Memphis, TN 38163-0001 | 2008-07-25 |
| 1780618942 | Tennessee Phlebology PC | Radiology | 9020 Overlook Blvd Ste 150, Brentwood, TN 37027-2727 | 2006-07-11 |
| 1851865794 | Zeni Interventional Pllc | Radiology | 6126 Poplar Ave, Memphis, TN 38119-4710 | 2019-01-14 |
| 1841799707 | Southern Pain and Regenerative Medicine PC | Radiology | 176 Briarwood St Ste B, Camden, TN 38320-1456 | 2018-02-06 |
| 1326564972 | Association of University Radiologists, PC | Radiology | 101 Professional Park Pvt Dr, Colonial Heights, TN 37663-2288 | 2017-08-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JASON GLEN FUNDERBURK.
| 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.