Northstar Neurology, PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NORTHSTAR NEUROLOGY, PC

Practice address

7596 N la Cholla Blvd
Tucson, AZ 85741-2307

Phone

(520) 229-1238

Fax

(520) 229-1242

NPI assigned

Dec 20, 2012

Organization subpart

No

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

Authorized official

Name

Carol Henricks, MD

Title

MD

Phone

(520) 229-1238

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Fabian Lugo, M.D.

  • Neurology Physician
  • Lafayette, LA
  • NPI 1538190798
  NPD (past)

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1942546841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7596 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412307",
            "telephone_number": "520-229-1238",
            "fax_number": "520-229-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7596 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412307",
            "telephone_number": "520-229-1238",
            "fax_number": "520-229-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "HENRICKS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "520-229-1238",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.