Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Randall Lee Funnamark Jr., DO

Individual provider Internal Medicine Physician · NPI 1992379531

Dr. Randall Lee Funnamark Jr., DO is an Internal Medicine in Henderson, Nevada. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2021, 5 years ago. Practices with Platinum Hospitalists LLP, a 196-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
5
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
NV
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10624 S Eastern Ave # A-955
Henderson, NV 89052-2982
Phone: (702) 800-5393
Fax: (702) 407-7016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DO3644 (NV)
Internal Medicine Physician Taxonomy 207R00000X · Licence SL1722 (NV)

Record details

NPI number1992379531
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 18, 2021
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2021 (5 years in practice)
Group practice Platinum Hospitalists Llp — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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