Active NPI
Robert Weslie Tyson, MD
- Anatomic Pathology & Clinical Pathology Physician
- Arvada, CO
National Provider Identifier
1629047477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 27968
- Practice address
- 6750 W 52ND Ave
Suite F
Arvada, CO 80002-3956 - Phone
- (720) 898-3300
- Fax
- (720) 898-3333
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 27968 | CO | Primary |
| Pediatric Pathology Physician | 207ZP0213X | 27968 | CO |
Addresses
Primary practice location
6750 W 52ND Ave
Suite F
Arvada, CO 80002-3956
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (214) 932-8029
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01279686 | Medicaid | CO | |
| 37680761 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27968 | CO | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Pathology Consultants PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Denver, CO
- NPI 1952373953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1629047477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD",
"address_2": "SUITE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013614",
"telephone_number": "214-932-8029",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 W 52ND AVE",
"address_2": "SUITE F",
"city": "ARVADA",
"state": "CO",
"postal_code": "800023956",
"telephone_number": "720-898-3300",
"fax_number": "720-898-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYSON",
"first_name": "ROBERT",
"middle_name": "WESLIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CO",
"license": "27968",
"primary": true
},
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "CO",
"license": "27968",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01279686",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37680761",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.