Northstar Neurological Clinic, P.a.

Primary specialty

Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X

License

32776 Issued in MN

Legal business name

NORTHSTAR NEUROLOGICAL CLINIC, P.A.

Practice address

12000 Elm Creek Blvd N
Suite 330
Maple Grove, MN 55369-7073

Phone

(763) 416-1400

Fax

(763) 416-0022

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven Trobiani, M.D.NPI 1477791580

Title

Owner

Phone

(763) 416-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Trobiani, M.D.

  • Neurology Physician
  • St Louis Park, MN
  • NPI 1477791580
  NPD (past) Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497978241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 ELM CREEK BLVD N",
            "address_2": "SUITE 330",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697073",
            "telephone_number": "763-416-1400",
            "fax_number": "763-416-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 ELM CREEK BLVD N",
            "address_2": "SUITE 330",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697073",
            "telephone_number": "763-416-1400",
            "fax_number": "763-416-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR NEUROLOGICAL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TROBIANI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-416-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "MN",
            "license": "32776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2072293",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Star Therapuetics LLC
• Northland Dental Partners, PLLC
• Northland Dental Partners, PLLC
• Elizabeth Michelle Northquest
• Northstar Neurological Clinic LTD
• Northwest Compassionate Care, LLC
• Northwest Eye Clinic, LLC
• Northwest Family Chiropractic PA
• Northwood Chiropractic & Wellness LLC
• Katelyn Jane Norwood, LPCC, NCC

• All providers in Maple Grove, MN
• Pain Medicine (Psychiatry & Neurology) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.