Active NPI
Edward F Burke, D.O.
- Orthopaedic Hand Surgery Physician
- Warren, MI
National Provider Identifier
1801896519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 5101006126
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295126 | Medicaid | MI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5101006126 | MI | MD | Orthopaedic 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.