Tanya Tivorsak MD PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

50978 Issued in CO

Legal business name

TANYA TIVORSAK MD PC

Practice address

2425 Canyon Blvd Ste 150
Boulder, CO 80302-6736

Phone

(303) 440-1000

NPI assigned

Aug 7, 2012

Organization subpart

No

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

Authorized official

Name

Tanya L Tivorsak, MD

Title

Owner

Phone

(303) 440-1000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1447507645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 CANYON BLVD STE 150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 CANYON BLVD STE 150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026736",
            "telephone_number": "303-440-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANYA TIVORSAK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "TIVORSAK",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-440-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "50978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Tangney
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• Diana Carol Tanney
• Tamora Tanniehill, MA
• Seneca Webb Tantum, PT
• Yangchan Tanzin
• Mackai Tapleshay
• Lane Taplin, LPC, ATR
• Tara Barrett LLC
• Judy Taub

• Diagnostic Radiology Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Diagnostic Radiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.