DR. JASON GLEN FUNDERBURK MD NPI 1104883966

NPI Information

NPI: 1104883966
Provider Name: DR. JASON GLEN FUNDERBURK, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Address:
116 CONCORD RD
SUITE 500
KNOXVILLE, TN
ZIP 37934
Phone: (865) 777-6880
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DR. Jason Glen Funderburk, MD is a vascular and interventional radiology radiology in Knoxville, TN. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Jason Glen Funderburk, MD NPI is 1104883966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

116 CONCORD RD
SUITE 500
KNOXVILLE, TN
ZIP 37934-940
Phone: (865) 777-6880

The enumeration date for this NPI number is 4/27/2006 and was last updated on 4/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology	ME 93065	FLORIDA	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	4301102162	MICHIGAN	No
3	2085R0204X	Radiology	Vascular & Interventional Radiology	47153	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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