TIMOTHY W TOLLESTRUP (NPI# 1982711628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982711628 |
| Entity Type | Individual |
| Full Name | TIMOTHY W TOLLESTRUP |
| Credential | M.D. |
| Practice Address |
3035 W Horizon Ridge Pkwy Ste 120 Henderson NV 89052-4189 |
| Practice Telephone | 7026660463 |
| Practice Fax Number | 7026660455 |
| Mailing Telephone | 7026660463 |
| Mailing Fax Number | 7026660455 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 13209 | NV | Allopathic & Osteopathic Physicians |
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
13209 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
3035 W HORIZON RIDGE PKWY STE 120 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-4189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164654414 | Timothy W Tollestrup PC | Surgery | 3035 W Horizon Ridge Pkwy Ste 120, Henderson, NV 89052-4189 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407284987 | Nitin J. Engineer, Md, Ltd | Surgery | 866 Seven Hills Dr, Suite 104, Henderson, NV 89052-4374 | 2013-10-22 |
| 1912225558 | Allied Hand & Orthopedics Las Vegas | Surgery | 2865 Siena Heights Dr, Henderson, NV 89052-4167 | 2010-05-06 |
| 1386967420 | 1849 LLC | Surgery | 11 W Pacific Ave, Henderson, NV 89015-7304 | 2010-03-03 |
| 1669629853 | Jon Sorelle Surgical, P.C. | Surgery | 880 Seven Hills Dr, Suite 140, Henderson, NV 89052-4371 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306207378 | Bonnie J Fraser Md PC | Surgery | 8975 W Charleston Blvd Ste 130-24, Las Vegas, NV 89117-5470 | 2016-03-17 |
| 1235338641 | Bishr Hijazi | Surgery | 4982 South Rainbow Blvd, Unit #100, Las Vegas, NV 89118 | 2007-07-16 |
Please comment or provide details below to improve the information on TIMOTHY W TOLLESTRUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.