Organization Active NPI

Todd Sisto MD PA

  • Specialist
  • Inverness, FL
National Provider Identifier
1912049628
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME62935 Issued in FL
Legal business name
TODD SISTO MD PA
Practice address
131 S Citrus Ave
Suite 307
Inverness, FL 34452-4701
Phone
(352) 344-9400
Fax
(352) 344-9086
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Todd Sisto, MD PA
Title
President
Phone
(352) 344-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME62935 FL Primary

Addresses

Primary practice location

131 S Citrus Ave
Suite 307
Inverness, FL 34452-4701

Mailing address

131 S Citrus Ave
Suite 307
Inverness, FL 34452-4701
Phone (352) 344-9400

National Provider Directory

National Provider Directory

Locations

131 S Citrus Ave
Ste 307
Inverness, FL 34452
Phone (352) 344-9400

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1912049628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S CITRUS AVE",
            "address_2": "SUITE 307",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524701",
            "telephone_number": "352-344-9400",
            "fax_number": "352-344-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S CITRUS AVE",
            "address_2": "SUITE 307",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524701",
            "telephone_number": "352-344-9400",
            "fax_number": "352-344-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD SISTO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "SISTO",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-344-9400",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME62935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.