Individual provider Active NPI

John T Tolland, MD

  • Colon & Rectal Surgery Physician
  • Port Orange, FL
National Provider Identifier
1750383733
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME0050127 Issued in FL
Practice address
1185 Dunlawton Ave Ste 100
Port Orange, FL 32127-2906
Phone
(386) 672-0017
Fax
(386) 676-0506
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X ME0050127 FL Primary

Addresses

Primary practice location

1185 Dunlawton Ave Ste 100
Port Orange, FL 32127-2906

Mailing address

PO Box 947381
Atlanta, GA 30394-7381
Phone (386) 672-0017

Other identifiers 1

IdentifierTypeStateIssuer
041825100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090515000469 FL Practitioner - Colorectal Surgery (Proctology) 6305862541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy141
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0050127FLMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vesc LLC Colon & Rectal Surgery Current Accepting new patients
Port Orange Endoscopy & Surgery Center LLC Current Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Nov 4, 2024 Accepting new patients

Locations

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

550 Memorial Cir
Ste G
Ormond Beach, FL 32174
Phone (386) 271-7105

400 Clyde Morris Blvd
Ste A
Ormond Beach, FL 32174
Phone (386) 231-6500

550 Memorial Cir
Ste H
Ormond Beach, FL 32174
Phone (386) 672-0017

61 Memorial Medical Pkwy
Ste 1-800A
Palm Coast, FL 32164
Phone (386) 586-1810

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

1185 Dunlawton Ave
Ste 100
Port Orange, FL 32127
Phone (386) 672-0017

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jtolland58092@adventhealth.direct-ci.com

Organizations & group practices 3

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 2

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1750383733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947381",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947381",
            "telephone_number": "386-672-0017",
            "fax_number": "386-676-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 DUNLAWTON AVE STE 100",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272906",
            "telephone_number": "386-672-0017",
            "fax_number": "386-676-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLAND",
        "first_name": "JOHN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME0050127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041825100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.