Basic Information
Provider Information
NPI: 1629458591
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOIGO
FirstName: PAUL
MiddleName: ANTHONY
NamePrefix: DR.
NameSuffix: JR.
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2301 HOLMES ST
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641082640
CountryCode: US
TelephoneNumber: 8164041000
FaxNumber:  
Practice Location
Address1: 2411 HOLMES ST
Address2: UMKC-SOM-GME
City: KANSAS CITY
State: MO
PostalCode: 641082741
CountryCode: US
TelephoneNumber: 8164041000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/04/2015
LastUpdateDate: 06/10/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207P00000X2015017865MOY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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