Stephen Kent Burger (NPI# 1962424168, PAC ID# 9739102351) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1962424168 |
| PAC ID by PECOS | 9739102351 |
| Professional Enrollment ID | I20060110000742 |
| Full Name | Stephen Kent Burger |
| Organization Legal Name | GRANITE CITY CLINIC CORP |
| Address |
1261 University Dr Edwardsville IL 62025-5586 |
| Phone Number | 6187988700 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 6406747906 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140125 | GATEWAY REGIONAL MEDICAL CENTER |
| 140145 | ST JOSEPHS HOSPITAL |
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| 140185 | MEMORIAL HOSPITAL |
| 140289 | ANDERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1261 University Dr, Edwardsville, IL 62025-5586 | 6187988700 | GRANITE CITY CLINIC CORP |
| 325 Spring St, 2nd, Red Bud, IL 62278-1105 | 6182353378 | GRANITE CITY CLINIC CORP |
| Organization Legal Name | GRANITE CITY CLINIC CORP |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria A Cullen | Clinical Social Worker | Granite City Clinic Corp | 2100 Madison Ave, Suite 201, Granite City, IL 62040-4713 |
| Ashley Michelle Tyler | Nurse Practitioner | Granite City Clinic Corp | 602 Farrish St, Madison, IL 62060-1567 |
| Hasan Al-janabi | Internal Medicine | Granite City Clinic Corp | 1261 University Dr E, Edwardsville, IL 62025-5587 |
| Emily Cottrell | Nurse Practitioner | Granite City Clinic Corp | 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 |
| Adam Joseph Rammacher | Podiatry | Granite City Clinic Corp | 1261 University Dr A, Edwardsville, IL 62025-5587 |
| Billie L Vincent | Nurse Practitioner | Granite City Clinic Corp | 220 E Us Hwy 40, Troy, IL 62294-2201 |
| Kelly R Murray | Certified Nurse Midwife (cnm) | Granite City Clinic Corp | 2246s State Route 157, Suite 100, Glen Carbon, IL 62034-1717 |
| Serge Marinkovic | Urology | Granite City Clinic Corp | 2100 Madison Ave, Suite 201, Granite City, IL 62040-4713 |
| Runda A El Khatib | Family Medicine | Granite City Clinic Corp | 2044 Madison Ave, Suite 27, Granite City, IL 62040-4661 |
| Megan Danielle Wood | Internal Medicine | Granite City Clinic Corp | 2100 Madison Ave, Suite 201, Granite City, IL 62040-4713 |
| Street Address |
1261 UNIVERSITY DR |
| City | EDWARDSVILLE |
| State | IL |
| Zip | 62025-5586 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane M Schwind | Nurse Practitioner | Granite City Physicians Corp | 1261 University Dr, Suite E, Edwardsville, IL 62025-5587 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin R Treloar | Clinical Social Worker | 1046 Florida St, Edwardsville, IL 62025-1420 | |
| Kelli Suzanne Fultz | Clinical Social Worker | 222 H St, Edwardsville, IL 62025-1528 | |
| Robert P Devine | Chiropractic | 211 Hillsboro Ave, Edwardsville, IL 62025-1623 | |
| Nathan A Vuagniaux | Chiropractic | 309 Hillsboro Ave, Edwardsville, IL 62025-1727 | |
| Rachel V Tompkins | Psychologist, Clinical | 118 S Main St, Edwardsville, IL 62025-1904 | |
| Alexander R James | Psychologist, Clinical | 118 S Main St, Edwardsville, IL 62025-1904 | |
| Curtis R Baird | Chiropractic | 239 S Main St, Edwardsville, IL 62025-1921 | |
| Emily J Colvin | Chiropractic | Pain Relief Center of Vandalia Inc | 200 S Buchanan St, Edwardsville, IL 62025-2109 |
| Lois Ann Buchta Ladd | Chiropractic | 403 Wolf St, Edwardsville, IL 62025-2138 | |
| Natalie J Carr | Optometry | 2100 Troy Rd, Edwardsville, IL 62025-2595 | |
| Find all physicians in zip 62025 | |||
| City | EDWARDSVILLE |
| Zip Code | 62025 |
| Specialty | NEUROLOGY |
| City + Specialty | EDWARDSVILLE + NEUROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.