DR. EDWARD JAMES JURKOVIC (NPI# 1558360842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558360842 |
| Entity Type | Individual |
| Full Name | DR. EDWARD JAMES JURKOVIC |
| Credential | D.O. |
| Practice Address |
16410 Healthpark Commons Dr Fort Myers FL 33908-9621 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393436202 |
| Practice Fax Number | 2394378537 |
| Mailing Telephone | 2393436202 |
| Mailing Fax Number | 2394378537 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
OS16255 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036085033 | 05 | |
| FL | 104146500 | 05 |
| Street Address |
16410 HEALTHPARK COMMONS DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-9621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477103323 | Linda Andreassi | Nurse Practitioner | 16410 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2019-09-12 |
| 1861821167 | Karen Reamer | Physician Assistant | 16410 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2013-11-06 |
| 1104121243 | Susan Jane Nolan | Physician Assistant | 16410 Healthpark Commons Dr, Fort Myers, FL 33908 | 2011-01-21 |
| 1962710715 | Karen Anne Mikol | Physician Assistant | 16410 Healthpark Commons Dr, Fort Myers, FL 33908 | 2010-09-15 |
| 1841421534 | Augustine Salami | Internal Medicine | 16410 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2009-07-29 |
| 1851553606 | Motaz Al-hafnawi | Internal Medicine | 16410 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2008-07-01 |
| 1477723138 | Sharon L Grantham | Nurse Practitioner | 16410 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2008-03-08 |
| 1770618860 | Mayelin Gomez | Nurse Practitioner | 16410 Healthpark Commons Dr, Fort Myers, FL 33908 | 2007-02-22 |
| 1639104730 | Tasha M Sylva | Physician Assistant | 16410 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2006-07-11 |
| 1861430134 | Francisco Roberto Ruiz | Internal Medicine | 16410 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| 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 |
|---|---|---|---|---|
| 1225507601 | Linmec Corp | Internal Medicine | 4531 Deleon St Ste 215, Fort Myers, FL 33907-1279 | 2018-11-15 |
| 1043786833 | Union Medical Group | Internal Medicine | 6300 Corporate Ct Ste 105, Fort Myers, FL 33919-3513 | 2018-10-18 |
| 1598258493 | Gulf Coast Health Centers Corp | Internal Medicine | 6300 Corporate Ct Unit 106, Fort Myers, FL 33919-3513 | 2018-06-14 |
| 1134612146 | Lee County Medical Institute Corp | Internal Medicine | 4531 Deleon St Unit 215, Fort Myers, FL 33907-1278 | 2018-06-13 |
| 1134590144 | Carrere Gastroenterology LLC | Internal Medicine | 16848 Fox Den, Fort Myers, FL 33908-4322 | 2015-10-16 |
| 1972891000 | Gouri Sreepati | Internal Medicine | 4790 Barkley Cir Ste A, Fort Myers, FL 33907-7593 | 2011-07-11 |
| 1528185162 | Ramesh Koka | Internal Medicine | 4790 Barkley Cir Bldg A, Fort Myers, FL 33907-7543 | 2007-03-26 |
| 1669455168 | Asif H Choudhury | Internal Medicine | 14131 Metropolis Ave, Suite 101, Fort Myers, FL 33912-4455 | 2005-11-29 |
| 1740279140 | David M Gutstein | Internal Medicine | 15621 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2005-10-18 |
| 1841282118 | Juan G Herrera | Internal Medicine | 13826 Bald Cypress Cir, Fort Myers, FL 33907-1839 | 2005-08-22 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on DR. EDWARD JAMES JURKOVIC.
| 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.