NPIMap

Individual provider Active NPI

Gerlinde S Tynan, MD

  • Surgery Physician
  • Longmont, CO
National Provider Identifier
1861443442
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0051883 Issued in CO
Practice address
1760 E Ken Pratt Blvd Ste 301
Longmont, CO 80504-5311
Phone
(303) 684-1877
Fax
(303) 267-4431
NPI assigned
May 16, 2006
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35511 AZ
Surgery Physician 208600000X DR.0051883 CO Primary

Addresses

Primary practice location

1760 E Ken Pratt Blvd Ste 301
Longmont, CO 80504-5311

Mailing address

1760 E Ken Pratt Blvd Ste 301
Longmont, CO 80504-5311
Phone (303) 684-1877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150219000671 CO Practitioner - General Surgery 5496750721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Washington School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Cancer Centers LLPGroup PAC ID 7012820533, 131 clinicians

Practice addresses (Care Compare)

2030 Mountain View Ave
Suite 210
Longmont, CO 80501-3180
Phone (303) 684-1900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy54
Melanoma (skin cancer) excision13
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35511AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Feb 1, 2015 Accepting new patients
Rocky Mountain Cancer Centers LLP Current Accepting new patients
Rocky Mountain Cancer Centers, LLP CurrentSince Nov 1, 2019 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Rocky Mountain Cancer Centers LLP CurrentSince Nov 1, 2019 Accepting new patients
Portercare Adventist Health System CurrentSince Feb 1, 2015 Accepting new patients
Khalid Chowdhury MD, PC PastSince Feb 12, 2013 Accepting new patients

Locations

3027 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 577-2555

1601 E 19th Ave
Ste 3000
Denver, CO 80218
Phone (303) 388-4876

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

1760 E Ken Pratt Blvd
Ste 301
Longmont, CO 80504
Phone (303) 684-1877

1760 E Ken Pratt Blvd
Ste 302
Longmont, CO 80504
Phone (303) 684-1900

1950 Mountain View Ave
Longmont, CO 80501
Phone (303) 651-5000

2030 Mountain View Ave
Ste 200
Longmont, CO 80501
Phone (720) 652-8444

2030 Mountain View Ave
Ste 210
Longmont, CO 80501
Phone (303) 684-1900

Interoperability endpoints

  • Direct secure messaging: gerlinde.tynan@rmcc.ikm.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1861443442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E KEN PRATT BLVD STE 301",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805045311",
            "telephone_number": "303-684-1877",
            "fax_number": "303-267-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E KEN PRATT BLVD STE 301",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805045311",
            "telephone_number": "303-684-1877",
            "fax_number": "303-267-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNAN",
        "first_name": "GERLINDE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "35511",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0051883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.