FUNCTIONAL ENDOCRINOLOGY – NPI #1487184800
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Health Care Provider Taxonomy Code for Internal Medicine

FUNCTIONAL ENDOCRINOLOGY is a provider located in MASON, OH. NPPES has assigned the NPI number 1487184800 to FUNCTIONAL ENDOCRINOLOGY on June 18, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FUNCTIONAL ENDOCRINOLOGY” is a dba name, the actual legal business name for this organization is FUNCDE, LLC. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 6 years ago on Apr 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FUNCTIONAL ENDOCRINOLOGY below.

NPI Profile for
FUNCDE, LLC

NPI Number
1487184800
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FUNCDE, LLC
Doing Business As (dba): FUNCTIONAL ENDOCRINOLOGY
Primary location
969 READING RD STE N
MASON, OH 45040
Phone: (513) 604-1004 Fax: (513) 437-0571
1 Other location(s):
103 Landmark Dr Ste 206
Bellevue, KY 41073-1393
Phone: (513) 604-1004
Fax: (513) 437-0571
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NAILA GOLDENBERG
PRACTICE OWNER
Phone: (513) 604-1004
Updated
Certification Date
Apr 22, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FUNCTIONAL ENDOCRINOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY7100510650
MEDICAIDOH0233942
MEDICAIDOH0079958
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)		 OH

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.