Individual
MR. STEVEN FOSTER BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
2409 SPRING ST, COLUMBUS CITY, IA 52737-9302
(319) 768-5858
(319) 753-2301
Mailing address
2409 SPRING ST, COLUMBUS CITY, IA 52737-9302
(319) 768-5858
(319) 753-2301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001481
IA
363AM0700X
Medical Physician Assistant
Primary
001481
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001481
IOWA PA LICENSE NUMBER
IA
01
—
0080200
MEDICAID GROUP
IA
01
—
13238
MEDICARE PART B GROUP
IA
01
—
16-1801
MEDICARE NGS GROUP
IA
01
—
16D0387805
CLIA RIVER DRIVE
IA
01
—
37512
BCBS
IA
01
—
42106072402
MEDICAID GROUP
IL
01
—
5100759
CSC
IA
01
—
8122859
BCBS GROUP
IL
01
—
CP8565
MEDICARE RR
—
Enumeration date
02/22/2006
Last updated
03/07/2023
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