Peter Ditoro MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3910 Issued in AL

Legal business name

PETER DITORO MD PC

Practice address

600 Saint Clair Ave SW
BLDG 5 Suite 10
Huntsville, AL 35801-5008

Phone

(256) 536-7358

Fax

(256) 539-4083

NPI assigned

Nov 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Peter Ditoro, MD

Title

Medical Doctor

Phone

(256) 536-7358

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1257033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257033600000",
    "number": "1164758702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SAINT CLAIR AVE SW",
            "address_2": "BLDG 5 SUITE 10",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015008",
            "telephone_number": "256-536-7358",
            "fax_number": "256-539-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SAINT CLAIR AVE SW",
            "address_2": "BLDG 5 SUITE 10",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015008",
            "telephone_number": "256-536-7358",
            "fax_number": "256-539-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER DITORO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-01",
        "last_updated": "2009-11-01",
        "status": "A",
        "authorized_official_last_name": "DITORO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "256-536-7358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "3910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4003527",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001752",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Smitha Rao Persaud, M.D.
• Tarek Omar Persaud, M.D.
• Persevere Behavioral Health LLC
• Amanda Peters, MS, ALC
• Rachel Rockman Petersen, M.D.
• Sam Richard Petersen, CRNP
• Amy E Peterson-Wingo
• Monique Lolita Peterson, LICSW

• Family Medicine Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2009; 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.