Organization
PINNACLE SPORTS MEDICINE & ORTHOPAEDICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON 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
1818 E 23RD AVE, HUTCHINSON, KS 67502-1106
(620) 662-6000
(620) 669-2394
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110633
BLUE CROSS PROVIDER NUMBE
KS
01
—
4705300001
DMERC PROVIDER NUMBER
KS
Enumeration date
07/26/2006
Last updated
08/22/2020
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.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up