Individual provider Active NPI

Edward F Burke, D.O.

  • Orthopaedic Hand Surgery Physician
  • Warren, MI
National Provider Identifier
1801896519
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
5101006126 Issued in MI
Practice address
11012 E 13 Mile Rd
Suite 112
Warren, MI 48093-2572
Phone
(586) 582-0864
Fax
(586) 582-0964
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 5101006126 MI Primary

Addresses

Primary practice location

11012 E 13 Mile Rd
Suite 112
Warren, MI 48093-2572

Mailing address

29900 Lorraine Ave
Suite 400
Warren, MI 48093-5266
Phone (586) 582-0864

Other identifiers 1

IdentifierTypeStateIssuer
1295126MedicaidMI

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101006126MIMDOrthopaedic Hand Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1801896519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29900 LORRAINE AVE",
            "address_2": "SUITE 400",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935266",
            "telephone_number": "586-582-0864",
            "fax_number": "586-582-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11012 E 13 MILE RD",
            "address_2": "SUITE 112",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932572",
            "telephone_number": "586-582-0864",
            "fax_number": "586-582-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "EDWARD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MI",
            "license": "5101006126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295126",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.