Active NPI
Virginia Dawn Burdine, MD
- Anatomic Pathology & Clinical Pathology Physician
- Dubuque, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD-47946
- Practice address
- 250 Mercy Dr
Dubuque, IA 52001-7320 - Phone
- (563) 589-8619
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Pathology) Physician | 207ZH0000X | DR.0039152 | CO | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 22704 | OK | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD-47946 | IA | Primary |
Addresses
Primary practice location
250 Mercy Dr
Dubuque, IA 52001-7320
Mailing address
10715 Eagle Ridge CT
Peosta, IA 52068-7005
Phone (033) 807-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100108420A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Oklahoma College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-1420
Hospital & facility affiliations
- Saint Francis Hospital, Inc
- Saint Francis Hospital Muskogee
- Saint Francis Hospital South, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-47946 | IA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 22704 | OK | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Outreach Services LLC | Current | Accepting new patients | |
| Lab Medicine of Greater Tulsa, P.C. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Tulsa Medical Laboratory, LLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Tulsa Medical Laboratory, LLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
5700 Southwyck Blvd
Toledo, OH 43614
2738 E 51st St
Ste 240
Tulsa, OK 74105
Phone (918) 742-1478
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Tulsa, OK
- NPI 1053364760
-
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1740265347
-
- Anatomic Pathology & Clinical Pathology Physician
- Tulsa, OK
- NPI 1063743052
-
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1457468464
Anatomic Pathology & Clinical Pathology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1376561944
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1124094941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10715 EAGLE RIDGE CT",
"city": "PEOSTA",
"state": "IA",
"postal_code": "520687005",
"telephone_number": "033-807-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 MERCY DR",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520017320",
"telephone_number": "563-589-8619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDINE",
"first_name": "VIRGINIA",
"middle_name": "DAWN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "CO",
"license": "DR.0039152",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OK",
"license": "22704",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IA",
"license": "MD-47946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100108420A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.