Lydia C Bourke (NPI# 1578688560, PAC ID# 5092753996) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1578688560 |
| PAC ID by PECOS | 5092753996 |
| Professional Enrollment ID | I20050421000206 |
| Full Name | Lydia C Bourke |
| Organization Legal Name | BISHR UJAYLI MD PC |
| Address |
468 Cadieux Rd Grosse Pointe MI 48230-1507 |
| Phone Number | 3133431000 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0042274847 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 22101 Moross Rd, Detroit, MI 48236-2148 | 3133434000 | BISHR UJAYLI MD PC |
| 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 | 3133431000 | BISHR UJAYLI MD PC |
| Organization Legal Name | BISHR UJAYLI MD PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bishr A Al Ujayli | Infectious Disease | Bishr Ujayli Md PC | 21420 Harper Ave, Suite 3, Saint Clair Shores, MI 48080-3607 |
| Jinson Jose | Infectious Disease | Bishr Ujayli Md PC | 1349 S Rochester Rd, Suite 115, Rochester Hills, MI 48307-3151 |
| Jehad Sibai | Infectious Disease | Bishr Ujayli Md PC | 44201 Dequindre Rd, Troy, MI 48085-1117 |
| Street Address |
468 CADIEUX RD |
| City | GROSSE POINTE |
| State | MI |
| Zip | 48230-1507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward J Jelonek | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Jaime L Puchalski | Certified Registered Nurse Anesthetist (crna) | William Beaumont Hospital | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Jeffrey J Reeves | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Michele Gamel | Nurse Practitioner | The Hospitalist Physicians Pllc | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Julie A Amicucci | Physician Assistant | Beaumont Medical Group Hospital Based Services | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Ranjit Kumar Jain | Diagnostic Radiology | Beaumont Medical Group Hospital Based Services | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Manaf Madoun | Internal Medicine | The Hospitalist Physicians Pllc | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Michele Renee Gorski | Physician Assistant | Beaumont Medical Group Hospital Based Services | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Wendy Robinson | Nurse Practitioner | Beaumont Medical Group Hospital Based Services | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Christina M Ciesluk | Nurse Practitioner | Beaumont Medical Group Hospital Based Services | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Pieh | Internal Medicine | 15222 B E Jefferson Ave, Grosse Pointe, MI 48230-1314 | |
| Roberta Md Walden | Clinical Social Worker | Chestnut Hill Counseling Inc. | 15001 E Jefferson Ave A, Grosse Pointe Park, MI 48230-1322 |
| David M Humphrey | Physician Assistant | Beaumont Medical Group Hospital Based Services | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Zahra Moattari | Endocrinology | William Beaumont Hospital | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Jon A Spyridakis | Emergency Medicine | William Beaumont Hospital | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Anne M Reed | Nurse Practitioner | Beaumont Medical Group Hospital Based Services | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Bassam Desho Matti | Family Medicine | Beaumont Medical Group Hospital Based Services | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Charles R Keersmaekers | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Robert T Losey | Certified Registered Nurse Anesthetist (crna) | William Beaumont Hospital | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Patrick M Long | Emergency Medicine | Beaumont Medical Group Hospital Based Services | 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 |
| Find all physicians in zip 48230 | |||
| City | GROSSE POINTE |
| Zip Code | 48230 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GROSSE POINTE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lydia C Bourke.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.