Northstar Neurology LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NORTHSTAR NEUROLOGY LLC

Practice address

516 Verot School Rd
Lafayette, LA 70508-5026

Phone

(337) 233-3850

NPI assigned

Mar 15, 2007

Last updated

Dec 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leopoldo Dealvare, MD

Title

Managing Partner

Phone

(337) 233-3850

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shane T Broussard, P.A.

  • Physician Assistant
  • Lafayette, LA
  • NPI 1164468435
  NPD (past)
• Fabian Lugo, M.D.

  • Neurology Physician
  • Lafayette, LA
  • NPI 1538190798
  NPD (past)
• Tracy L Vincent, N.P.

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1376578963
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1114051653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81082",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705981082",
            "telephone_number": "337-233-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 VEROT SCHOOL RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085026",
            "telephone_number": "337-233-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "DEALVARE",
        "authorized_official_first_name": "LEOPOLDO",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "337-233-3850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Cage Norris
• Shelley Kaye Norris, RNFA
• Northland Hearing Centers, Inc. (Audibel Hearing Center)
• Northside High School Health Clinic
• Northside Pharmacy LLC (Northside Pharmacy)
• Walter Edward Norton, MD
• Hannah Boudreaux Noto, DDS
• Yolanda Marie Notto, M.ED
• Nova Dental Group, LLC
• Nova Physician Group PLLC

• Neurology Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Neurology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.