Timothy W Tollestrup, M.D.

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

License

13209 Issued in NV

Practice address

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

Phone

(702) 666-0463

Fax

(702) 666-0455

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Sep 2, 2020 through Sep 2, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mercy Clinic Trauma and General Surgery, LLC

  • Trauma Surgery Physician
  • Saint Louis, MO
  • NPI 1699825695
  NPD (past)
• STL Plastic and Hand Surgery, Inc.

  • Plastic Surgery Physician
  • Saint Louis, MO
  • NPI 1730106725
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1982711628",
    "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": "702-666-0455"
        },
        {
            "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": "702-666-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLESTRUP",
        "first_name": "TIMOTHY",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NV",
            "license": "13209",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "13209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toledo and Associates LTD
• Robert Toledo, DO LTD
• Jared Toller
• Tami D. Toller, OTR/L
• Matthew Lawrence Tolleson, B.S.
• Tia Laniece Tolliver
• Myra Tolo
• Stephanie Tolstoy, LCSW
• Brandon Michael Sunao Tomas, RN
• Debra Tomas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.