Clarissa Tana Burkert, MD

Individual provider Active NPI Preventive Medicine/Occupational Environmental Medicine Physician · Tamc, HI

NPI 1639288657 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1639288657
Entity type
Individual (NPI type 1)
Primary specialty
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X
License
G51528 (CA)
Practice address
1 Jarrett White Rd
Tripler Army Medical Center Attn: MCHK-QS
Tamc, HI 96859-5001
Phone
(808) 433-2460
Fax
(808) 433-1558
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 4496HIMDInternal Medicine Physician
G51528CAMDPreventive Medicine/Occupational Environmental Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD 4496 HI
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X MD 4496 HI
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X G51528 CA Yes

Addresses

Primary practice location

1 Jarrett White Rd
Tripler Army Medical Center Attn: MCHK-QS
Tamc, HI 96859-5001

Mailing address

1 Jarrett White Rd
Tripler Army Medical Center Attn: MCHK-QS
Tamc, HI 96859-5001
Phone (808) 433-2460

Other providers in Tamc, HI

All providers in Tamc, HI · Preventive Medicine/Occupational Environmental Medicine Physician in Hawaii

Sources for this page

Verify at the official NPI Registry.