Individual provider Active NPI

Sara Elizabeth Burnham, D.O.

  • Emergency Medicine Physician
  • Iowa City, IA
National Provider Identifier
1801022694
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R-8688 Issued in IA
Practice address
500 E Market St
Iowa City, IA 52245-2633
Phone
(319) 339-0300
Fax
(319) 358-2783
NPI assigned
Jun 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R-8688 IA Primary

Addresses

Primary practice location

500 E Market St
Iowa City, IA 52245-2633

Mailing address

PO Box 1638
Iowa City, IA 52244-1638
Phone (319) 339-3855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120605000055 IA Practitioner - Emergency Medicine 2466616438 Reassigns benefits to 3 organizations
I20200514001772 IL Practitioner - Emergency Medicine 2466616438 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R-8688IAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Memorial Hospital CurrentSince Mar 21, 2012 Accepting new patients
Unity Healthcare Current Accepting new patients
Trinity Medical Center Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Delaware County Memorial Hospital Current Accepting new patients
Unity Healthcare CurrentSince Jun 1, 2019 Accepting new patients
Unity Healthcare CurrentSince Jun 1, 2019 Accepting new patients
Trinity Medical Center Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Delaware County Memorial Hospital CurrentSince Mar 21, 2012 Accepting new patients

Locations

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

Interoperability endpoints

  • Direct secure messaging: sburnham674446@direct.unitypoint.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1244332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1801022694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1638",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522441638",
            "telephone_number": "319-339-3855",
            "fax_number": "319-358-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E MARKET ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452633",
            "telephone_number": "319-339-0300",
            "fax_number": "319-358-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-07",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "R-8688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.