Individual provider Active NPI

Steven Foster Burke, P.A.-C.

  • Medical Physician Assistant
  • Columbus City, IA
National Provider Identifier
1780659623
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001481 Issued in IA
Practice address
2409 Spring St
Columbus City, IA 52737-9302
Phone
(319) 768-5858
Fax
(319) 753-2301
NPI assigned
Feb 22, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001481 IA
Medical Physician Assistant 363AM0700X 001481 IA Primary

Addresses

Primary practice location

2409 Spring St
Columbus City, IA 52737-9302

Mailing address

2409 Spring St
Columbus City, IA 52737-9302
Phone (319) 768-5858

Other identifiers 11

IdentifierTypeStateIssuer
13238OtherIABCBS GROUP
42106072402OtherILMEDICAID GROUP
0080200OtherIAMEDICAID GROUP
37512OtherIABCBS
16D0387805OtherIACLIA RIVER DRIVE
001481OtherIAIOWA PA LICENSE NUMBER
CP8565OtherMEDICARE RR
13238OtherIAMEDICARE PART B GROUP
5100759OtherIACSC
16-1801OtherIAMEDICARE NGS GROUP
8122859OtherILBCBS GROUP

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001481IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Family Health Center Past Accepting new patients
Narinder Kumar Dba Bettendorf Pediatric & Family Practice Assoc. Past Accepting new patients
Bettendorf Pediatric Group PastSince Apr 15, 2012 Accepting new patients
Community Health Centers of Southeastern Iowa Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780659623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 SPRING ST",
            "city": "COLUMBUS CITY",
            "state": "IA",
            "postal_code": "527379302",
            "telephone_number": "319-768-5858",
            "fax_number": "319-753-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 SPRING ST",
            "city": "COLUMBUS CITY",
            "state": "IA",
            "postal_code": "527379302",
            "telephone_number": "319-768-5858",
            "fax_number": "319-753-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "STEVEN",
        "middle_name": "FOSTER",
        "name_prefix": "Mr.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001481",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "13238",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "42106072402",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "0080200",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37512",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA RIVER DRIVE",
            "identifier": "16D0387805",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA PA LICENSE NUMBER",
            "identifier": "001481",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CP8565",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B GROUP",
            "identifier": "13238",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSC",
            "identifier": "5100759",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NGS GROUP",
            "identifier": "16-1801",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "8122859",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.