Organization Active NPI

Pamela Tyrrell MD PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Denver, CO
National Provider Identifier
1124223847
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
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

Updated by the provider on Jan 30, 2008

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)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
61271896MedicaidCO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.