Healthcare Provider Details

I. General information

NPI: 1093246290
Provider Name (Legal Business Name): FORREST LOYD ANDERSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9195 GRANT ST STE 200
THORNTON CO
80229-4386
US

IV. Provider business mailing address

9195 GRANT ST STE 200
THORNTON CO
80229-4386
US

V. Phone/Fax

Practice location:
  • Phone: 720-917-7050
  • Fax:
Mailing address:
  • Phone: 720-917-7050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number321571
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberA174992
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberDR.0074023
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: