DR. EDWARD LUKE BOURKE JR. (NPI# 1851625479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851625479 |
| Entity Type | Individual |
| Full Name | DR. EDWARD LUKE BOURKE JR. |
| Credential | MD |
| Practice Address |
322 Aoloa St Apt 1305 Kailua HI 96734-3019 |
| Practice Telephone | 8082612992 |
| Mailing Telephone | 8082612992 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD2463 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
322 AOLOA ST APT 1305 |
| City | KAILUA |
| State | HI |
| Zip Code | 96734-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659806115 | Naoky C S Tsai Md Inc | Internal Medicine | 642 Ulukahiki St Ste 103, Kailua, HI 96734-4418 | 2017-04-21 |
| 1073811758 | James Panetta, Do, Pllc | Internal Medicine | 642 Ulukahiki St, Suite 302, Kailua, HI 96734-4400 | 2011-03-04 |
| 1376721142 | James Danny Panetta Jr. | Internal Medicine | 642 Ulukahiki St, Suite 302, Kailua, HI 96734-4400 | 2008-02-04 |
| 1245214618 | Naoky C Tsai | Internal Medicine | 642 Ulukahiki St, Ste 103, Kailua, HI 96734-4400 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952744484 | Gavin H Park | Internal Medicine | 550 S Beretania St Ste 501, Honolulu, HI 96813-2496 | 2013-04-15 |
| 1508100413 | Stephen K. Buto, Md, Inc | Internal Medicine | 1329 Lusitana St Ste 105, Honolulu, HI 96813-2401 | 2012-11-15 |
| 1467611939 | Elizabeth E Mannick Md A Professional Corporation | Internal Medicine | 39 Kamehameha Ave, Suite B, Kahului, HI 96732-2263 | 2008-06-09 |
| 1871618561 | Neal T Shimoda M D Inc | Internal Medicine | 321 N Kuakini St Ste 503, Honolulu, HI 96817-2390 | 2007-03-20 |
| 1144356783 | Roy M Matsuyama | Internal Medicine | 173 Hoohana St, Suite 104, Kahului, HI 96732-2482 | 2007-02-26 |
| 1346300845 | Rodney M Kazama Md Inc | Internal Medicine | Queens Pob I, 1380 Lusitana St 409, Honolulu, HI 96813-2440 | 2006-12-12 |
| 1154482503 | Parthasarathy Govindarajan | Internal Medicine | 75-5591 Palani Rd Ste 2002, Kailua Kona, HI 96740-3634 | 2006-12-12 |
| 1457411829 | Takakazu Fukumura | Internal Medicine | 512 Ahakea Street, Honolulu, HI 96816-4758 | 2006-12-08 |
| 1215004775 | Warren I. Ono, M.d., Inc. | Internal Medicine | 321 N Kuakini St Ste 714, Honolulu, HI 96817-2362 | 2006-11-29 |
| 1982784898 | Robert Francisco Wong | Internal Medicine | 98-211 Pali Momi Street, Suite 312, Aiea, HI 96701-4714 | 2006-10-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.