Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tanya Tivorsak MD PC

Organization Diagnostic Radiology Physician · NPI 1447507645

Tanya Tivorsak MD PC provides Diagnostic Radiology Physician services in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2012.

Licensed in
CO
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2425 Canyon Blvd Ste 150
Boulder, CO 80302-6736 Not confirmed with CMS for 13 years — call before visiting
Phone: (303) 440-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 50978 (CO)

Record details

NPI number1447507645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanya Tivorsak — Owner · (303) 440-1000
NPI enumeratedAugust 7, 2012
Last updated in NPPESJanuary 9, 2013
Mailing address2425 Canyon Blvd Ste 150, Boulder, CO 80302-6736

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