Healthcare Provider Details

I. General information

NPI: 1851786065
Provider Name (Legal Business Name): JORDAN ALGER MD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2015
Last Update Date: 08/11/2021
Certification Date: 08/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10450 PARK MEADOWS DR STE 202
LONE TREE CO
80124-5528
US

IV. Provider business mailing address

3624 S NARCISSUS WAY
DENVER CO
80237-1236
US

V. Phone/Fax

Practice location:
  • Phone: 303-733-8848
  • Fax:
Mailing address:
  • Phone: 410-456-2911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number2020-02440
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberDR.0066599
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: