Organization Active NPI

Northstar Neurological Clinic LTD

  • Neurology Physician
  • Maple Grove, MN
National Provider Identifier
1659608776
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
32776 Issued in MN
Legal business name
NORTHSTAR NEUROLOGICAL CLINIC LTD
Practice address
12000 Elm Creek Blvd
Suite 330
Maple Grove, MN 55369
Phone
(763) 416-1400
Fax
(763) 416-0022
NPI assigned
Nov 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Steven Trobiani, M.D.NPI 1477791580
Title
Owner/Neurologist
Phone
(763) 416-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 32776 MN Primary

Addresses

Primary practice location

12000 Elm Creek Blvd
Suite 330
Maple Grove, MN 55369

Mailing address

12000 Elm Creek Blvd
Suite 330
Maple Grove, MN 55369
Phone (763) 416-1400

National Provider Directory

National Provider Directory

Locations

12000 Elm Creek Blvd N
Ste 330
Maple Grove, MN 55369
Phone (763) 416-1400

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1659608776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 ELM CREEK BLVD",
            "address_2": "SUITE 330",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55369",
            "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",
            "address_2": "SUITE 330",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "55369",
            "telephone_number": "763-416-1400",
            "fax_number": "763-416-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR NEUROLOGICAL CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "TROBIANI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/NEUROLOGIST",
        "authorized_official_telephone_number": "763-416-1400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "32776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.