TANYA TIVORSAK MD PC
NPI 1447507645
Radiology - Diagnostic Radiology in Boulder, CO

Active since August 07, 2012
2425 CANYON BLVD STE 150, BOULDER, CO 80302(303) 440-1000 Get Directions Write a Review

NPPES record last updated: January 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tanya Tivorsak Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANYA TIVORSAK MD PC (NPI 1447507645) is a healthcare organization registered as a diagnostic radiology in Boulder, Colorado and active in the NPI registry since August 2012. The organization lists Tanya L Tivorsak, Owner, as its authorized official.

NPPES Registry Identity

NPI1447507645
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameTANYA TIVORSAK MD PC
Location Address2425 CANYON BLVD STE 150Boulder, CO 80302-6736
Mailing Address2425 Canyon Blvd Ste 150Boulder, CO 80302-6736
Organization SubpartNo
Authorized OfficialTanya L TivorsakOwner · (303) 440-1000
Enumeration DateAugust 7, 2012
Last NPPES UpdateJanuary 9, 2013
NPI 1447507645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CO · 50978
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2425 CANYON BLVD STE 150, Boulder, CO 80302

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanya Tivorsak MD PC's NPI number?

The NPI number for Tanya Tivorsak MD PC is 1447507645. It was assigned to this organization in the NPPES registry on August 7, 2012.

Where is Tanya Tivorsak MD PC located?

Tanya Tivorsak MD PC is located at 2425 Canyon Blvd Ste 150, Boulder, CO 80302. The listed phone number is (303) 440-1000.

What is Tanya Tivorsak MD PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Tanya Tivorsak MD PC was last updated on January 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.