JORDAN ARLING TYSDAL PA-C
NPI 1770117384
Physician Assistant in Colorado Springs, CO

Active since February 24, 2020
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907(719) 327-5660 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Arling Tysdal Pa-c NPPES

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

JORDAN ARLING TYSDAL PA-C (NPI 1770117384) is an individual physician assistant in Colorado Springs, Colorado, licensed in Colorado (PA.0006109) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1770117384
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN ARLING TYSDALCredential: PA-C
Location Address3141 CENTENNIAL BLVDColorado Springs, CO 80907-4094
Mailing Address1804 Wallace AveDuluth, MN 55803-2513 · (218) 343-3046
Sole ProprietorNo
Enumeration DateFebruary 24, 2020
NPI 1770117384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CO · PA.0006109
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3141 CENTENNIAL BLVD, Colorado Springs, CO 80907

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Exercise Physiologist
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Counselor (Professional)
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Physical Therapist
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3141 CENTENNIAL BLVD, COLORADO SPRINGS VA
COLORADO SPRINGS, CO 80907
Occupational Therapist
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Social Worker (Clinical)
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Social Worker (Clinical)
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Physical Therapist
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907

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 Jordan Tysdal's NPI number?

The NPI number for Jordan Tysdal is 1770117384. It was assigned to this individual provider in the NPPES registry on February 24, 2020.

Where is Jordan Tysdal located?

Jordan Tysdal practices at 3141 Centennial Blvd, Colorado Springs, CO 80907. The listed phone number is (719) 327-5660.

What is Jordan Tysdal's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jordan Tysdal was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.