Active NPI
Peggy Toro, MD
- Family Medicine Physician
- Blackfoot, ID
National Provider Identifier
1053379461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M-8772
- Practice address
- 315 W Idaho St
Blackfoot, ID 83221-1711 - Phone
- (208) 782-3990
- Fax
- (208) 782-3994
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M-8772 | ID | Primary |
Addresses
Primary practice location
315 W Idaho St
Blackfoot, ID 83221-1711
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 782-3990
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010149456 | Other | ID | REGENCE BLUE SHIELD |
| 73924 | Other | ID | BLUE CROSS OLD |
| 268231 | Other | ID | ALTIUS OLD |
| 313068 | Other | ID | ALTIUS |
| 76962 | Other | ID | BLUE CROSS |
| 806699000 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-8772 | ID | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1053379461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 POPLAR ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211758",
"telephone_number": "208-782-3990",
"fax_number": "208-782-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W IDAHO ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211711",
"telephone_number": "208-782-3990",
"fax_number": "208-782-3994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORO",
"first_name": "PEGGY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M-8772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "000010149456",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OLD",
"identifier": "73924",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS OLD",
"identifier": "268231",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "313068",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "76962",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806699000",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blackfoot, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.