Richard D Funneman (NPI# 1396726121, PAC ID# 6103829353) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1396726121 |
| PAC ID by PECOS | 6103829353 |
| Professional Enrollment ID | I20100416000445 |
| Full Name | Richard D Funneman |
| Organization Legal Name | FAYETTE COUNTY HOSPITAL DISTRICT |
| Address |
650 W Taylor St Vandalia IL 62471-1227 |
| Phone Number | 6182831231 |
| Gender | M |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0446201156 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141346 | FAYETTE COUNTY HOSPITAL |
| 140137 | GREENVILLE REGIONAL HOSPITAL |
| 140032 | ST ANTHONYS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 650 W Taylor St, Vandalia, IL 62471-1227 | 6182831231 | FAYETTE COUNTY HOSPITAL DISTRICT |
| Organization Legal Name | FAYETTE COUNTY HOSPITAL DISTRICT |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duncan Y Dinkha | Emergency Medicine | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| James R Goggin | Family Medicine | Fayette County Hospital District | 308 W College Ave, Greenville, IL 62246-1019 |
| Neil Curts Mcclymont | Emergency Medicine | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Madhu R Dukkipati | Interventional Cardiology | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Ameha A Hagos | Family Medicine | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Christopher Rhyne | Family Medicine | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Adel A Abood | Family Medicine | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Patrick F Keogh | Emergency Medicine | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| David F Smith | Emergency Medicine | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Richard E Katholi | Cardiovascular Disease (cardiology) | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Street Address |
650 W TAYLOR ST |
| City | VANDALIA |
| State | IL |
| Zip | 62471-1227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duncan Y Dinkha | Emergency Medicine | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Neil Curts Mcclymont | Emergency Medicine | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Madhu R Dukkipati | Interventional Cardiology | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Ameha A Hagos | Family Medicine | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Christopher Rhyne | Family Medicine | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Adel A Abood | Family Medicine | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Patrick F Keogh | Emergency Medicine | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| David F Smith | Emergency Medicine | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Richard E Katholi | Cardiovascular Disease (cardiology) | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Frank V Aguirre | Interventional Cardiology | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny D Attaway | Nurse Practitioner | 1404 N 5th St, Medical Services Unlimited, Vandalia, IL 62471-1039 | |
| Jedidiah M Cox | Chiropractic | 1406 N 5th St, Vandalia, IL 62471-1039 | |
| Audrey Faulstich | Nurse Practitioner | Therapeutic Education and Career Services Inc | 1121 N 6th St, Vandalia, IL 62471-1219 |
| Joseph A Blaser | General Surgery | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Robert V Trask | Interventional Cardiology | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Daniel Novella | Family Medicine | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Glenn A Skow | Family Medicine | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Nasaraiah Nallamothu | Cardiovascular Disease (cardiology) | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Nilesh J Goswami | Interventional Cardiology | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Krishna J Rocha Singh | Interventional Cardiology | Fayette County Hospital District | 650 W Taylor St, Vandalia, IL 62471-1227 |
| Find all physicians in zip 62471 | |||
| City | VANDALIA |
| Zip Code | 62471 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VANDALIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard D Funneman.
| 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.