Julie Ann Funfrock, DO
Julie Ann Funfrock, DO is a Family Practice in Fort Wayne, Indiana. Qualified in 2022, 4 years ago. Practices with Credo Health Group LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Colorado and Indiana.
- Years since qualifying
- 4
- Licensed in
- CO, IN
- In the registry since
- 2022
- Specialties on file
- 3
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.
Practice location Address checks out
10050 Auburn Park DrFort Wayne, IN 46825-2389
Phone: (260) 432-6459
Fax: (260) 240-5284
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 02008137A (IN) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence TL.0009112 (CO) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence TL.0009112 (CO) |
Record details
| NPI number | 1144970575 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | March 28, 2022 |
| Last updated in NPPES | June 26, 2025 |
| Certification date | June 26, 2025 |
| Mailing address | 10050 Auburn Park Dr, Fort Wayne, IN 46825-2389 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Credo Health Group Llc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fort Wayne
-
Dana R Forrest, MD
2516 E Dupont Rd, Fort Wayne, IN 46825-1608 · (260) 458-3740
-
Fort Wayne Medical Education Program
750 Broadway Ste 350, Fort Wayne, IN 46802-1412 · (260) 423-2675
-
Fort Wayne Medical Education Program Inc
1 E Main St Ste 510, Fort Wayne, IN 46802-1815 · (260) 499-8660
-
Dr. Terry Lee Frederick, MD
2505 W Hamilton Rd S, Fort Wayne, IN 46814-9136 · (260) 625-6200
-
David T Furman Jr., DO
2512 E Dupont Rd Ste 200, Fort Wayne, IN 46825-1609 · (260) 458-3760
-
Janel D Gagnon, MD
11055 Twin Creeks Cv, Fort Wayne, IN 46845-2204 · (260) 425-6120
-
Dr. Cynthia Gannon, MD
436 E Washington Blvd, Fort Wayne, IN 46802-3210 · (260) 264-7711
-
Joseph Lucas Geiger, DO
750 Broadway Ste 350, Fort Wayne, IN 46802-1412 · (260) 423-2675