Active NPI
Family Medical Care PLLC
- Family Medicine Physician
- Hayden, ID
National Provider Identifier
1053615427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M-7938
- Legal business name
- FAMILY MEDICAL CARE PLLC
- Practice address
- 265 W Prairie Shopping Ctr
Hayden, ID 83835-9855 - Phone
- (208) 772-7850
- Fax
- (208) 772-2313
- NPI assigned
- Dec 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Lawrence Torquato, M.D.
- Title
- President
- Phone
- (208) 772-7850
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M-7938 | ID | Primary |
| Medical Physician Assistant | 363AM0700X | PAG-019 | ID |
Addresses
Primary practice location
265 W Prairie Shopping Ctr
Hayden, ID 83835-9855
Mailing address
265 W Prairie Shopping Ctr
Hayden, ID 83835-9855
Phone (208) 772-7850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8058948 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WA
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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": "1293580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293580800000",
"number": "1053615427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 W PRAIRIE SHOPPING CTR",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838359855",
"telephone_number": "208-772-7850",
"fax_number": "208-772-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 W PRAIRIE SHOPPING CTR",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838359855",
"telephone_number": "208-772-7850",
"fax_number": "208-772-2313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY MEDICAL CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-29",
"last_updated": "2010-12-29",
"status": "A",
"authorized_official_last_name": "TORQUATO",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "LAWRENCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-772-7850",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "ID",
"license": "M-7938",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "ID",
"license": "PAG-019",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8058948",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hayden, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.