Individual provider Active NPI

Joshua Sampson Tolleson, M.D.

  • Surgery Physician
  • Jonesboro, AR
National Provider Identifier
1679734099
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E8250 Issued in AR
Practice address
1005 E Matthews Ave
Jonesboro, AR 72401-4308
Phone
(870) 935-1242
Fax
(870) 934-0144
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E8250 AR Primary

Addresses

Primary practice location

1005 E Matthews Ave
Jonesboro, AR 72401-4308

Mailing address

1313 Crepe Myrtle Dr
Jonesboro, AR 72401-7971
Phone (870) 935-1242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140505000945 AR Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 3678706389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Arkansas College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

1005 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 935-1242

Hospital & facility affiliations

  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • St Bernards Five Rivers Medical Center Hospital, Pocahontas, AR, CCN 040779
  • Lawrence Memorial Hospital Hospital, Walnut Ridge, AR, CCN 041309

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)35
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E8250ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics, Inc. CurrentSince Feb 1, 2022 Accepting new patients
St Bernards Physician Clinics Inc Surgery CurrentSince Aug 1, 2021 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Feb 1, 2022 Accepting new patients
Jonesboro Neurosurgery Clinic, Inc Past Accepting new patients
Doctors Health Group, Inc. Past Accepting new patients

Locations

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

800 S Main St
Jonesboro, AR 72401
Phone (870) 932-7024

Interoperability endpoints

  • Direct secure messaging: joshuatolleson@sbpc.medalliesdirect.net
  • Direct secure messaging: jtolleson@stbjsa.gwaydirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1679734099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 CREPE MYRTLE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017971",
            "telephone_number": "870-935-1242",
            "fax_number": "870-934-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014308",
            "telephone_number": "870-935-1242",
            "fax_number": "870-934-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLESON",
        "first_name": "JOSHUA",
        "middle_name": "SAMPSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E8250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.