Emily Burkman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

AMD-1028 Issued in HI

Practice address

75-5995 Kuakini Hwy Ste 443
Kailua Kona, HI 96740-2123

Phone

(808) 323-2608

NPI assigned

Mar 30, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Emily Bose Former name

Medicare fee-for-service enrollment

Enrolled in MN, HI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Dermatology LLCGroup PAC ID 7719210459, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eburkman@islandderm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Island Dermatology LLC

  • Dermatology Physician
  • Kailua Kona, HI
  • NPI 1497226054
  Medicare reassignment Care Compare group
• Advanced Dermatology Care Medical Cosmetic and Surgery PA

  • Dermatology Physician
  • White Bear Lake, MN
  • NPI 1073614558
  Medicare reassignment
• Advanced Dermatology Care Medical Cosmetic and Surgery PA

  • Dermatology Physician
  • Stillwater, MN
  • NPI 1144486978
  NPD
• Koru Health and Beauty, LLC

  • Family Nurse Practitioner
  • Kamuela, HI
  • NPI 1962926832
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1447756465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4340",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967454340",
            "telephone_number": "507-227-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5995 KUAKINI HWY STE 443",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402123",
            "telephone_number": "808-323-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKMAN",
        "first_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "HI",
            "license": "AMD-1028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BOSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sohra Buehler
• Warren Buenavista, DPT
• Yohanna L Bueno
• Gary Bernard Buff, ED.D.
• Melissa Ann Bumgardner, PHARM.D.
• Jenny Mae Alas Buted, PT
• California Advanced Imaging Medical Associates, Inc.
• Nicole Camacho, MAT # 14948
• Cami Corp.
• Aki Tachiki Campbell, L.AC.

• Medical Physician Assistant in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Medical Physician Assistant in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.