AMY ELISE FUNDERBURK MOCK M.D.
NPI 1114919370
Internal Medicine in Memphis,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 15, 2005

Contact Information

4100 Austin Peay Hwy
Memphis,
Post Code: 38128
Phone: (901) 844-1431
Fax: -

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Amy Elise Funderburk Mock M.d. in Memphis - Internal Medicine

Amy Elise Funderburk Mock M.d. is a Internal Medicine in Memphis, . Amy Elise Funderburk Mock M.d. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Amy Elise Funderburk Mock M.d. is 1114919370. The last update date is 2023-11-30.

Amy Elise Funderburk Mock M.d.'s current location address is 4100 Austin Peay Hwy, Memphis, . You can contact this provider via phone number (901) 844-1431 and fax number -. The mailing address for Amy Elise Funderburk Mock M.d. is 4100 Austin Peay Hwy, Memphis, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114919370
Provider Name
AMY ELISE FUNDERBURK MOCK M.D.
Gender
Female
Entity Type
Individual
Location Address
4100 Austin Peay Hwy, Memphis,
Location Phone
(901) 844-1431
Location Fax
-
Mailing Address
Po Box 770390, Memphis, Tennessee(TN)
Mailing Phone
901-844-1431
Mailing Fax
-
Enumeration Date
2005-08-15
Last Update Date
2023-11-30
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
-
License No.
md31772
License State
Tennessee (TN)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3843367 MEDICAID (05) Tennessee (TN)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114919370
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212418118314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 212418118314
2 + 1 + 2 + 4 + 1 + 8 + 1 + 1 + 8 + 3 + 1 + 4 + 24 = 60
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1114919370 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114918455 LYNNE A MONTAGUE
Individual
Physical Therapist 141 HILLCREST DR
CLARKSVILLE, Tennessee (TN)
931-552-4340
1114918224 ALAN J KRAUS
Individual
Anesthesiology, Pain Medicine 2028 W POPLAR AVE STE 102
COLLIERVILLE, Tennessee (TN)
901-754-3365
1114917028 PAMELA LYNN COSGROVE
Individual
Optometrist 57 FAIRFIELD BLVD
CROSSVILLE, Tennessee (TN)
931-484-3344
1114917010 J RANDALL SMITH
Individual
Dentist, Orthodontics and Dentofacial Orthopedics 205 S JACKSON ST
TULLAHOMA, Tennessee (TN)
931-455-0146
1114916590 AARON L SPIVEY
Individual
Optometrist 45 HOSPITAL DR
MC KENZIE, Tennessee (TN)
731-352-2473