Organization Active NPI

David Toll MD

  • Pediatrics Physician
  • St Johnsbury, VT
National Provider Identifier
1023238557
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
042-0002104 Issued in VT
Legal business name
DAVID TOLL MD
Practice address
1394 Main St
St Johnsbury, VT 05819-1829
Phone
(802) 748-2348
Fax
(802) 748-5561
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
David Toll, MD
Title
Owner
Phone
(802) 748-2348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 042-0002104 VT Primary

Addresses

Primary practice location

1394 Main St
St Johnsbury, VT 05819-1829

Mailing address

1394 Main St
St Johnsbury, VT 05819-1829
Phone (802) 748-2348

Other identifiers 1

IdentifierTypeStateIssuer
1006628MedicaidVT

National Provider Directory

National Provider Directory

Locations

1394 Main St
St Johnsbury, VT 05819
Phone (802) 748-2348

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1023238557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 MAIN ST",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058191829",
            "telephone_number": "802-748-2348",
            "fax_number": "802-748-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 MAIN ST",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058191829",
            "telephone_number": "802-748-2348",
            "fax_number": "802-748-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID TOLL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "TOLL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-748-2348",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "042-0002104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006628",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.