Timothy W Tollestrup PC

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

Legal business name

TIMOTHY W TOLLESTRUP PC

Doing business as

Neuropax Clinic of Nevada

Practice address

3035 W Horizon Ridge Pkwy Ste 120
Henderson, NV 89052-4189

Phone

(702) 666-0463

Fax

(702) 666-0463

NPI assigned

Aug 20, 2009

Last updated

Mar 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy W Tollestrup, M.D.NPI 1982711628

Title

President

Phone

(702) 666-0463

Specialties & licenses 2

Addresses

Other names 1

• Neuropax Clinic of Nevada Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy W Tollestrup, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Henderson, NV
  • NPI 1982711628
  Authorized official Same address or phone

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1164654414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 W HORIZON RIDGE PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524189",
            "telephone_number": "702-666-0463",
            "fax_number": "702-666-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 W HORIZON RIDGE PKWY STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524189",
            "telephone_number": "702-666-0463",
            "fax_number": "702-666-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY W TOLLESTRUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "TOLLESTRUP",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-666-0463",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuropax Clinic of Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Anne Tillman, LMFT
• Jeremy S Tilton, DPM
• Cachet Timbers
• Evangeline Timbol
• Raymond Gregorio Timbol, CRT
• Julie Marie Viado Timple, DO
• Corry Larsen Timpson, DDS
• Julie Tinsman
• Brandye Tinson-Delooze
• Harry Nathan Tishk, RPH

• Surgery of the Hand (Surgery) Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Surgery of the Hand (Surgery) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.