Northstar Circle of Companies, Inc.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

5331 Issued in MN

Legal business name

NORTHSTAR CIRCLE OF COMPANIES, INC.

Practice address

2381 Carter Ave
Saint Paul, MN 55108-1625

Phone

(651) 646-0471

Fax

(651) 646-0470

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan Weber, PH.D.

Title

Audiologist Owner

Phone

(651) 646-0471

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• NCC, Inc. Doing business as

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1104043587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8116",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551080116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 CARTER AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081625",
            "telephone_number": "651-646-0471",
            "fax_number": "651-646-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR CIRCLE OF COMPANIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "AUDIOLOGIST OWNER",
        "authorized_official_telephone_number": "651-646-0471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MN",
            "license": "5331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12696NO",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "002228315002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA (SALT LAKE CITY)",
            "identifier": "45-00015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MINNESOTA",
            "identifier": "101102",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "634553100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "6396",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCC, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Audiologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Audiologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.