Healthcare Provider Details

I. General information

NPI: 1679732929
Provider Name (Legal Business Name): JORDAN FORISTER SCHAEFFER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2008
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5818 N NEVADA AVE STE 110
COLORADO SPRINGS CO
80918-3505
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 719-365-1950
  • Fax: 719-364-0022
Mailing address:
  • Phone: 719-365-1950
  • Fax: 719-364-0022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number8633099-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberDR0059076
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: