Stephanie Lanae Burger, M.D.
Individual provider Active NPI Otolaryngology Physician · Sioux City, IA
NPI 1992099402 · NPPES record last updated Sep 30, 2022
Key facts
- NPI
- 1992099402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 10561 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- 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
- Ear Nose and Throat Consultants and Hearing Services PLC
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
- Sioux Center Health
- St Lukes Regional Medical Center
- Cherokee Regional Medical Center
- Orange City Area Health System
- Hawarden Regional Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA, SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160722002152 | IA | Practitioner - Otolaryngology | 3971742073 | Reassigns benefits to 2 organizations |
| I20171030002253 | SD | Practitioner - Otolaryngology | 3971742073 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10561 | IA | MD | Otolaryngology Physician |
| R-9147 | IA | MD | Otolaryngology Physician |
| 43079 | SD | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Van Wagner MD PC | Otolaryngology | Current |
Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Allergy, Asthma & Immunology Associates P.C. | Current |
Accepting new patients | |
| Ear Nose and Throat Consultants and Hearing Services PLC | Otolaryngology | Current |
Accepting new patients |
Locations
2730 Pierce St
Ste 204
Sioux City, IA 51104
Phone (712) 234-8787
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
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
- stephanieburger@earnoseand.allscriptsdirect.net
- sburger408593@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | R-9147 | IA | |
| Otolaryngology Physician | 207Y00000X | 43079 | SD | |
| Otolaryngology Physician | 207Y00000X | 10561 | IA | Yes |
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
- Dr. Stephanie Lanae Hulstein
Other providers in Sioux City, IA
- Gerald Bruhn
- Madison Brunson
- Jolynn A. Bugbee
- Building Bridges Counseling & Associates Inc
- Kathryn Joanne Burford
- Craig Noel Burhoop
- Julie Burke
- Michael Burke
- Monty Burke
- Paul E Burke
All providers in Sioux City, IA · Otolaryngology Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.