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DR. AVERY THOMAS FUNKHOUSER MD
NPI 1679369235
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since April 18, 2025
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Avery Thomas Funkhouser Md NPPES

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

DR. AVERY THOMAS FUNKHOUSER MD (NPI 1679369235) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1679369235
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. AVERY THOMAS FUNKHOUSERCredential: MD
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address20 York StNew Haven, CT 06510-3220
Phone(203) 688-4242
Sole ProprietorNo
Enumeration DateApril 18, 2025
NPPES CertifiedApril 18, 2025
✔ NPI 1679369235 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.

20 YORK ST, New Haven, CT 06510
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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.

MELIH ARICI MD
Radiology (Diagnostic Radiology)
20 YORK ST, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-7998
DAVID CHRISTOPHER CONE MD
Emergency Medicine
20 YORK ST, YNHH SOUTH PAVILION 218
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2222
KEVIN JOHN BURNS PA C
Physician Assistant
20 YORK ST, YALE NEW HAVEN HOSPITAL SOUTH PAVILION 218
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2222
MAURICE J MAHONEY MD
Medical Genetics (Clinical Genetics (M.D.))
20 YORK ST, YALE CHILDREN'S HOSPITAL, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2660
MARGRETTA R SEASHORE MD
Medical Genetics (Clinical Genetics (M.D.))
20 YORK ST, CHILDREN'S HOSPITAL AT YALE, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2660
PAUL HENRI DESAN MD
Psychiatry & Neurology (Psychiatry)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2619
LIVA ANDREJEVA-WRIGHT MD
Radiology (Diagnostic Radiology)
20 YORK ST, YALE NEW HAVEN HOSPITAL-SOUTH PAVILLION-2ND FL
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2433
KELLY ANNETTE MARTENS PA C
Physician Assistant
20 YORK ST, YALE NEW HAVEN HOSPTIAL EMERGENCY DEPARTMENT
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2222

Frequently Asked Questions

What is Avery Funkhouser's NPI number?

The NPI number assigned to this healthcare provider is 1679369235, enumerated as an "individual" on April 18, 2025.

Where is the provider located?

The provider is located at 20 YORK ST NEW HAVEN, CT 06510 and the phone number is (203) 688-4242.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.