MR. JERRY RIDER PA-C
NPI 1194884494
Physician Assistant in Fort Carson, CO
About Mr. Jerry Rider Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JERRY RIDER PA-C (NPI 1194884494) is an individual physician assistant in Fort Carson, Colorado, licensed in Tennessee (2594) and active in the NPI registry since December 2006.
NPPES Registry Identity
Specialties & Licenses 2
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.
FORT CARSON, CO 80913
FORT CARSON, CO 80913
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 Jerry Rider's NPI number?
The NPI number for Jerry Rider is 1194884494. It was assigned to this individual provider in the NPPES registry on December 6, 2006.
Where is Jerry Rider located?
Jerry Rider practices at 1650 Cochrane Cir, Fort Carson, CO 80913. The listed phone number is (719) 526-2361.
What is Jerry Rider'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 Jerry Rider was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.