NORTHSTAR NEUROLOGY, PC (NPI# 1942546841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942546841 |
| Entity Type | Organization |
| Organization Name | NORTHSTAR NEUROLOGY, PC |
| Practice Address |
7596 N La Cholla Blvd Tucson AZ 85741-2307 |
| Practice Telephone | 5202291238 |
| Practice Fax Number | 5202291242 |
| Mailing Telephone | 5202291238 |
| Mailing Fax Number | 5202291242 |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |
| Authorized Official Name | CAROL HENRICKS (MD) |
| Authorized Official Telephone | 5202291238 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
7596 N LA CHOLLA BLVD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85741-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013465822 | Cynthia L. Dowdall | Counselor | 7596 N La Cholla Blvd, Tucson, AZ 85741-2307 | 2016-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790237 | Taylor Seery Schwab | Occupational Therapist | Marana Unified School District, 7651 North Oldfather Dr, Tucson, AZ 85741 | 2020-11-03 |
| 1366095374 | Rita Jean Weatherholt | Counselor | 7382 N Lacholla Blvd., Tucson, AZ 85741 | 2019-07-18 |
| 1225690076 | Center for Pain Management LLC | Clinic/Center | 6060 N Fountain Drive, Tucson, AZ 85741 | 2019-07-02 |
| 1124506019 | Emily Jensen | Speech-Language Pathologist | Thornydale Elementary School, 7651 N Oldfather Rd, Tucson, AZ 85741 | 2018-08-01 |
| 1366954703 | Solterra La Cholla Operations, Lp | Assisted Living Facility | 6505 North La Cholla Blvd, Tucson, AZ 85741 | 2017-10-25 |
| 1932636123 | Tucson Digestive Institute LLC | Clinic/Center | 7566 N La Cholla Blvd Ste B, Tucson, AZ 85741 | 2017-05-18 |
| 1336591437 | Eugene Choi | Dentist | 7578 N. La Cholla Blvd, Tucson, AZ 85741 | 2016-07-13 |
| 1841672763 | Gang Li | Dentist | 2242 W Distant Song St., Tucson, AZ 85741 | 2015-06-27 |
| 1467870378 | Lisa Tucci | Nurse Practitioner | 7105 N. Lacholla Blvd., Tucson, AZ 85741 | 2014-03-29 |
| 1457639197 | Vanessa Moore | Speech-Language Pathologist | 3400 West Massingale Road, Tucson, AZ 85741 | 2011-07-29 |
| Find all providers in zip 85741 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992294607 | Kathryn Clare Krulisky | Psychiatry & Neurology | 1501 N Campbell Ave Rm 6204a, Tucson, AZ 85724-0001 | 2018-05-08 |
| 1730603283 | Gilbert Rene Gonzales | Psychiatry & Neurology | 863 W Calle De Los Higos, Tucson, AZ 85745-3250 | 2017-07-26 |
| 1376902536 | Vimala Sravanthi Vajjala | Psychiatry & Neurology | 1501 N Campbell Ave Fl 6, Tucson, AZ 85724-1962 | 2016-02-16 |
| 1568842961 | Judy Dawod | Psychiatry & Neurology | 3838 N Campbell Avenue, Bldg 2, Clinic E, Tucson, AZ 85719 | 2015-06-02 |
| 1720391279 | Muhammad Awais Khan | Psychiatry & Neurology | 3838 N Campbell Ave, Bldg2, Clinic E, Tucson, AZ 85719 | 2010-07-26 |
| 1730344102 | Mateja De Leonni Stanonik | Psychiatry & Neurology | 2850 E Skyline Dr Ste 130, Tucson, AZ 85718-8013 | 2008-07-24 |
| 1326237801 | Anita Ann Koshy | Psychiatry & Neurology | 1501 N Campbell Ave, 6th Floor, Department of Neurology, Tucson, AZ 85721 | 2007-10-19 |
| 1700074507 | Kamakshi A. Patel | Psychiatry & Neurology | 6261 N. La Cholla Blvd, Suite 131, Tucson, AZ 85741 | 2007-10-05 |
| 1164627329 | Valerie Ann Cwik | Psychiatry & Neurology | 3300 E Sunrise Dr, Tucson, AZ 85718-3208 | 2007-06-18 |
| 1992891006 | Carol Lynn Henricks | Psychiatry & Neurology | 7598 N Lacholla Blvd, Tucson, AZ 85741 | 2006-10-05 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.