Individual provider Active NPI

Stephanie Lanae Burger, M.D.

  • Otolaryngology Physician
  • Sioux City, IA
National Provider Identifier
1992099402
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
10561 Issued in IA
Practice address
4301 Sergeant Road- Ear Nose & Throat Consultants
Ste 215
Sioux City, IA 51106
Phone
(605) 217-4320
Fax
(605) 217-2948
NPI assigned
Jun 1, 2011
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X R-9147 IA
Otolaryngology Physician 207Y00000X 43079 SD
Otolaryngology Physician 207Y00000X 10561 IA Primary

Addresses

Primary practice location

4301 Sergeant Road- Ear Nose & Throat Consultants
Ste 215
Sioux City, IA 51106

Mailing address

101 Tower Rd- Ear Nose & Throat Consultants
Ste 120
Dakota Dunes, SD 57049
Phone (605) 217-4320

Other names 1

  • Dr. Stephanie Lanae Hulstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD2 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
I20160722002152 IA Practitioner - Otolaryngology 3971742073 Reassigns benefits to 2 organizations
I20171030002253 SD Practitioner - Otolaryngology 3971742073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Iowa, RJ & L Carver College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2720 Stone Park Blvd
Sioux City, IA 51104-3734
Phone (712) 279-3500

600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000
Phone (605) 217-4320

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10561IAMDOtolaryngology Physician
43079SDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy, Asthma & Immunology Associates P.C. CurrentSince Jan 21, 2022 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Ear Nose and Throat Consultants and Hearing Services PLC Otolaryngology CurrentSince Nov 1, 2017 Accepting new patients
David Van Wagner MD PC Otolaryngology CurrentSince Jul 1, 2016 Accepting new patients

Locations

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 255-2324

2730 Pierce St
Ste 204
Sioux City, IA 51104
Phone (712) 234-8787

4301 Sergeant Rd
Ste 215
Sioux City, IA 51106
Phone (605) 217-4320

101 Tower Rd
Ste 120
North Sioux City, SD 57049
Phone (605) 217-4320

600 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-4320

Interoperability endpoints

  • Direct secure messaging: sburger408593@direct.unitypoint.org
  • Direct secure messaging: stephanieburger@earnoseand.allscriptsdirect.net

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1992099402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWER RD- EAR NOSE & THROAT CONSULTANTS",
            "address_2": "STE 120",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "57049",
            "telephone_number": "605-217-4320",
            "fax_number": "605-217-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 SERGEANT ROAD- EAR NOSE & THROAT CONSULTANTS",
            "address_2": "STE 215",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51106",
            "telephone_number": "605-217-4320",
            "fax_number": "605-217-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGER",
        "first_name": "STEPHANIE",
        "middle_name": "LANAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "R-9147",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SD",
            "license": "43079",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "10561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HULSTEIN",
            "middle_name": "LANAE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.