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CARLY MICHELLE FUNK MD
NPI 1225898653
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since March 21, 2024PECOS Enrolled
4301 WEST MARKHAM, SLOT 584, LITTLE ROCK, AR 72205(501) 686-6996(501) 686-8586 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carly Michelle Funk Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY MICHELLE FUNK MD (NPI 1225898653) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225898653
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCARLY MICHELLE FUNKCredential: MD
Location Address4301 WEST MARKHAM, SLOT 584Little Rock, AR 72205
Mailing Address4301 West Markham, Slot 584, G184Little Rock, AR 72205 · (501) 526-7485 · Fax (501) 686-8586
Phone(501) 686-6996
Fax(501) 686-8586
Sole ProprietorYes
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1225898653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 WEST MARKHAM, Little Rock, AR 72205
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Secondary Practice Locations 2

Location 11125 North College Avenue, Slot 100Fayetteville, AR 72703 · Phone (479) 713-8310
Location 21 Children's Way, Slot ACH 512-16Little Rock, AR 72202 · Phone (501) 364-2833

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Michelle Funk Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLY ANNA LYNN PYTEL PHD
Student in an Organized Health Care Education/Training Program
4301 WEST MARKHAM, SLOT # 568
LITTLE ROCK, AR 72205
Pulaski County (501) 526-8200
CALEB BAUMAN DO
Anesthesiology
4301 WEST MARKHAM, MAIL SLOT 515
LITTLE ROCK, AR 72205
Pulaski County (501) 603-1656
AMUDHA KUMAR
Student in an Organized Health Care Education/Training Program
4301 WEST MARKHAM, MAIL SLOT NO- 634
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5162
RAVEENA PATEL
Student in an Organized Health Care Education/Training Program
4301 WEST MARKHAM, SLOT 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6627
AHMED AHMED SOLIMAN ELKALASHY
Student in an Organized Health Care Education/Training Program
4301 WEST MARKHAM
LITTLE ROCK, AR 72205
Pulaski County (501) 686-7840
FRANCESCA LOBIANCO MD/PHD
Student in an Organized Health Care Education/Training Program
4301 WEST MARKHAM, SLOT 520
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6627
SHANNON LEIGH DOERHOFF APN
Nurse Practitioner (Acute Care)
4301 WEST MARKHAM, #783
LITTLE ROCK, AR 72205
Pulaski County (501) 614-2125
MRS. LAURA ANN PFEIFFER P.T.
Physical Therapist
4301 WEST MARKHAM
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Funk's NPI number?

The NPI number for Carly Funk is 1225898653. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Carly Funk located?

Carly Funk practices at 4301 West Markham Slot 584, Little Rock, AR 72205. The listed phone number is (501) 686-6996.

What is Carly Funk's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carly Funk enrolled in Medicare?

Yes. Carly Funk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carly Funk was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.