KEVIN C FUNK (NPI# 1801975461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801975461 |
| Entity Type | Individual |
| Full Name | KEVIN C FUNK |
| Credential | MD |
| Practice Address |
5444 South Green Street Murray UT 84123 |
| Practice Telephone | 8012628120 |
| Practice Fax Number | 8012625721 |
| Mailing Telephone | 8012622647 |
| Mailing Fax Number | 8012623897 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2012-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M-5252 | ID | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
354670-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 003691600 | 05 | |
| UT | 1801975461 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619938644 | Kevin Funk | Emergency Medicine | 9306 Utica Dr, Lubbock, TX 79424-4822 | 2006-03-29 |
| Street Address |
5444 SOUTH GREEN STREET |
| City | MURRAY |
| State | UT |
| Zip Code | 84123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003253667 | James Blain Sowby | Radiology | 5334 S Woodrow St Ste 100, Murray, UT 84107-5838 | 2013-05-22 |
| 1497789523 | Radiology Associates of Murray, Pllc | Radiology | Murray Calloway County Hospital, 803 Poplar St, Murray, KY 42071 | 2006-07-11 |
| 1316949316 | Duane Blatter | Radiology | 5444 S Green St, Murray, UT 84123-5632 | 2005-08-10 |
| 1275530289 | W Robert Brinton | Radiology | 5444 S. Green St., Murray, UT 84123-5632 | 2005-07-05 |
| 1639175144 | Jonathan Scott Silverstein | Radiology | 5444 Green St, Murray, UT 84123-5632 | 2005-06-21 |
| 1518403641 | Summit Physician Specialists | Radiology | 5444 S Green St, Murray, UT 84123-5632 | 2017-01-12 |
| 1194100651 | Ihc Health Services Inc | Radiology | 5444 S Green St, Murray, UT 84123-5632 | 2015-07-27 |
| 1285019737 | Ihc Health Services Inc | Radiology | 5444 S Green St, Murray, UT 84123-5632 | 2015-07-27 |
| 1447661053 | Roger Stimpson | Radiology | 5334 S Woodrow St Ste 100, Murray, UT 84107-5838 | 2014-05-16 |
| 1770900672 | Eric M Hu | Radiology | 5169 S Cottonwood St, Murray, UT 84107-6767 | 2014-03-28 |
| Find all providers in MURRAY | ||||
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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.