Charles Harwood Funderburk in Oklahoma City - Sports Medicine
Charles Harwood Funderburk - NPI 1558369892
Charles Harwood Funderburk is a Sports Medicine in Oklahoma City, Oklahoma. Charles Harwood Funderburk practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Charles Harwood Funderburk is 1558369892. The last update date is 2019-08-09.
Charles Harwood Funderburk's current location address is 9600 Broadway Ext, Oklahoma City, Oklahoma. You can contact this provider via phone number 4052309000 and fax number 4052309175. The mailing address for Charles Harwood Funderburk is 9600 Broadway Ext, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Harwood Funderburk |
|---|---|
| Address | 9600 Broadway Ext, Oklahoma City, Oklahoma |
| Phone Number | 4052309000 |
| Fax Number | 4052309175 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558369892 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2019-08-09 |
Provider Mailing Address Detail
| Address | 9600 Broadway Ext |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731147408 |
| Phone Number | 4052309000 |
| Fax Number | 4052309175 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 17610 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200040194 | OK | RAILROAD MEDICARE | |
| 100034390A | OK | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charles Harwood Funderburk?
The Charles Harwood Funderburk has been issued the NPI (National Provider Identifier) 1558369892 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Charles Harwood Funderburk is physically located?
The Charles Harwood Funderburk is physically situated at the following address: 9600 Broadway Ext, Oklahoma City, OK, 731147408.
What is Charles Harwood Funderburk's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Charles Harwood Funderburk is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558369892 to Charles Harwood Funderburk?
The Charles Harwood Funderburk received its 1558369892 assignment from the Centers for Medicare & Medicaid Services on 2005-07-11.
When was the information regarding Charles Harwood Funderburk, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Charles Harwood Funderburk, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-08-09.