Active NPI
Wesley Tate MD PC
- Specialist
- Louisville, CO
National Provider Identifier
1578769543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 44990
- Legal business name
- WESLEY TATE MD PC
- Practice address
- 2255 S 88TH St
Louisville, CO 80027-9716 - Phone
- (303) 666-2095
- Fax
- (303) 666-1801
- NPI assigned
- Jun 26, 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
- Dr. Wesley A Tate, MD
- Title
- PC
- Phone
- (303) 666-2095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 44990 | CO | Primary |
Addresses
Primary practice location
2255 S 88TH St
Louisville, CO 80027-9716
Mailing address
1127 Orange Place
Boulder, CO 80027
Phone (303) 666-2095
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1578769543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 ORANGE PLACE",
"city": "BOULDER",
"state": "CO",
"postal_code": "80027",
"telephone_number": "303-666-2095",
"fax_number": "303-666-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 S 88TH ST",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800279716",
"telephone_number": "303-666-2095",
"fax_number": "303-666-1801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESLEY TATE MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TATE",
"authorized_official_first_name": "WESLEY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PC",
"authorized_official_telephone_number": "303-666-2095",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CO",
"license": "44990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.