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Active NPI 1821679176 Individual Practitioner Male Practitioner

Dr. Jonathan Pulsipher , DO

Surgery • Rolla, MO

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Pulsipher, DO is a registered healthcare professional specializing in Surgery in Rolla, MO. Practice services are available at 1060 W 10TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1060 W 10th St

Rolla, MO 654012905

Telephone 8554063324
Fax 5734588363
Associated Practice Facility / Clinic
🏢 Pcrmc Medical Group, Inc Facility NPI 1124237227

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Rolla, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Rolla, MO (766 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-22
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MO 2026034153

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Practice Locations

1000 W 10th St

Rolla, MO 654012905

Phone: 5734588899

1000 W 10th St

Rolla, MO 654012905

Phone: 5733649000

1301 S Crismon Rd

Mesa, AZ 852093767

Phone: 4803586100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1013295419

Doctor of Medicine (M.D.)

Tiffany Williams

Nurse Practitioner - Family

NPI 1073454229
Dr. Mark Pajeau , MD

Internal Medicine - Hematology & Oncology

NPI 1114131711

Doctor of Medicine (M.D.)

NPI 1144751843

Doctor of Medicine (M.D.)

Jinna Lisenbe , ANP

Nurse Practitioner - Adult Health

NPI 1245658335

Adult Nurse Practitioner

Salli Lamberth , NP

Nurse Practitioner

NPI 1245877620

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 22, 2026

Registered at 1060 W 10TH ST, ROLLA, MO 654012905 (Tel: 8554063324)

📍
Updated Business Mailing Address July 22, 2026

Registered at 1050 W 10TH ST, ROLLA, MO 654012905 (Tel: 5733649000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2026

Surgery (License #2026034153 in MO)

NPI Profile Active April 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2021

Registered at 1301 S CRISMON RD, MESA, AZ 852093767 (Tel: 4803586100)

📍
Updated Business Mailing Address April 19, 2021

Registered at 4466 W BARTLETT DR, HERRIMAN, UT 840961979 (Tel: 9163802634)

👤
Provider Name / Credentials Updated April 19, 2021

Recorded as JONATHAN PULSIPHER, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 19, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821679176
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2021
Last Update: July 22, 2026
Sole Proprietor: No

Mailing Address

1050 W 10th St

Rolla, MO 654012905

Phone: 5733649000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.