| Alton Wayne Funderburk Jr, CRNA | |
|
1600 Wallace Blvd, Amarillo, TX 79106-1799 | |
| (806) 212-5803 | |
| Not Available |
| Full Name | Alton Wayne Funderburk Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 1600 Wallace Blvd, Amarillo, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891071643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 678869 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Spohn Hospital Corpus Christi | Corpus christi, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergenchealth Pllc | 1355606641 | 666 |
| Entity Name | Northstar Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
| Entity Name | Northstar Anesthesia Ii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Entity Name | Northstar Anesthesia Iii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Alton Wayne Funderburk Jr, CRNA 11884 Moorhen Cir, Fort Worth, TX 76244-7587 Ph: (214) 364-8028 | Alton Wayne Funderburk Jr, CRNA 1600 Wallace Blvd, Amarillo, TX 79106-1799 Ph: (806) 212-5803 |
David Ross Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Wallace Blvd, Amarillo, TX 79106 Phone: 806-212-2000 | |
Julie Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6819 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-355-9595 Fax: 806-353-1589 | |
Christopher Adam Roe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6819 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-354-6100 | |
Aaron Everett Landers, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6819 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-354-6100 | |
Brittany Alexis Morrison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7310 Fleming Ave, Amarillo, TX 79106 Phone: 806-354-8891 | |
Amy Jeannette Aguirre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6819 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-354-6100 | |
Joshua Michael Pritchet, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 S Coulter St, Amarillo, TX 79106 Phone: 806-354-1000 |