Active NPI
Pamela Tyrrell MD PC
- Geriatric Medicine (Internal Medicine) Physician
- Denver, CO
National Provider Identifier
1124223847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- PAMELA TYRRELL MD PC
- Practice address
- 1305 Krameria St # H143
Denver, CO 80220-2743 - Phone
- (303) 399-6605
- Fax
- (303) 399-6025
- NPI assigned
- Jun 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Tyrrell, MD
- Title
- President
- Phone
- (303) 399-6605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | CO | Primary |
Addresses
Primary practice location
1305 Krameria St # H143
Denver, CO 80220-2743
Mailing address
2600 Bellaire St
Denver, CO 80207-3023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61271896 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
1305 Krameria St
#H143
Denver, CO 80220
Phone (303) 399-6605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201651200000",
"number": "1124223847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 BELLAIRE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802073023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 KRAMERIA ST # H143",
"city": "DENVER",
"state": "CO",
"postal_code": "802202743",
"telephone_number": "303-399-6605",
"fax_number": "303-399-6025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAMELA TYRRELL MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-21",
"last_updated": "2008-01-30",
"status": "A",
"authorized_official_last_name": "TYRRELL",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-399-6605",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61271896",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.