Active NPI
Stephen Burns, M.D.
- Orthopaedic Surgery Physician
- Michigan City, IN
National Provider Identifier
1184694242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01031148A
- Practice address
- 1225 E Coolspring Ave
Michigan City, IN 46360-6312 - Phone
- (219) 861-8161
- Fax
- (219) 873-9504
- NPI assigned
- Jan 23, 2006
- Last updated
- Aug 8, 2011
- 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 Surgery Physician | 207X00000X | 01031148A | IN | Primary |
Addresses
Primary practice location
1225 E Coolspring Ave
Michigan City, IN 46360-6312
Mailing address
1225 E Coolspring Ave
Michigan City, IN 46360-6312
Phone (219) 861-8161
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000347039 | Other | IN | ANTHEM |
| P00246910 | Other | RR MEDICARE | |
| 100192700 | Medicaid | IN |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01031148A | IN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dunes Optical, LLC | Past | Accepting new patients | |
| Medical Group Surgery Center LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Michigan City, IN
- NPI 1306943436
-
dba Healthpartners Medical Group Sugery Center
- Ambulatory Surgical Clinic/Center
- Michigan City, IN
- NPI 1760518617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1184694242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 E COOLSPRING AVE",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463606312",
"telephone_number": "219-861-8161",
"fax_number": "219-873-9504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 E COOLSPRING AVE",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463606312",
"telephone_number": "219-861-8161",
"fax_number": "219-873-9504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "STEPHEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01031148A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000347039",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00246910",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100192700",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.