Active NPI
Elizabeth Callejo Tolosa, MD
- Pediatrics Physician
- El Dorado, AR
National Provider Identifier
1346316072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E0066
- Practice address
- 706 W Faulkner
El Dorado, AR 71730 - Phone
- (870) 862-2433
- Fax
- (870) 862-2776
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E0066 | AR | Primary |
Addresses
Primary practice location
706 W Faulkner
El Dorado, AR 71730
Mailing address
PO Box 1815
El Dorado, AR 71730
Phone (870) 862-2433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5J325 | Other | AR | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0066 | AR | MD | Pediatrics Physician |
Interoperability endpoints
- elizabeth.tolosa@3525.securemail.prognocis.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346316072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1815",
"city": "EL DORADO",
"state": "AR",
"postal_code": "71730",
"telephone_number": "870-862-2433",
"fax_number": "870-862-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 W FAULKNER",
"city": "EL DORADO",
"state": "AR",
"postal_code": "71730",
"telephone_number": "870-862-2433",
"fax_number": "870-862-2776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLOSA",
"first_name": "ELIZABETH",
"middle_name": "CALLEJO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E0066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5J325",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Dorado, AR
- Benita Thomason, PHARMD
- Sanequa Thompson, APRN, FNP-C
- Tara Lee Thompson, PT, DPT
- Daniel R Thrower, MD
- Timberlane Care and Rehabilitation Center, LLC (Timberlane Health & Rehabilitation)
- Sharon Marie Tomaski, MD
- R C Tommey, MD
- Amy Machelle Triplet, ANP
- Tru Story Counseling LLC
- Twin City Urology Associates, P.a. (Southern Arkansas Urology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.