Organization
PINNACLE SPORTS MEDICINE & ORTHOPAEDICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON J. FUNK (CEO)
(620) 663-4800
Entity
Organization
Contact information
Practice address
1818 E 23RD AVE, HUTCHINSON, KS 67502-1106
(620) 662-6000
(620) 669-2394
Mailing address
800 MEDICAL CENTER DR, STE. 240, NEWTON, KS 67114-7808
(316) 283-9977
(316) 283-0966
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100644510A
—
KS
01
—
110633
BCBS
KS
01
—
4705300001
DMERC
KS
Enumeration date
10/29/2009
Last updated
04/22/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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