MR. JERRY RIDER PA-C
NPI 1194884494
Physician Assistant in Fort Carson, CO

Active since December 06, 2006
1650 COCHRANE CIR, FORT CARSON, CO 80913(719) 526-2361 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2024, Mar 20, 2023, Mar 8, 2023 (3 updates tracked since 2023).

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

NPI1194884494
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JERRY RIDERCredential: PA-C
Location Address1650 COCHRANE CIRFort Carson, CO 80913-4613
Mailing Address10th Medical Group/sghc, 4102 Pinion DrAir Force Academy, CO 80840 · (719) 684-3159
Sole ProprietorNo
Enumeration DateDecember 6, 2006
Last NPPES UpdateJune 13, 20243 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
NPI 1194884494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · 2594
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 2594 (TN)
1650 COCHRANE CIR, Fort Carson, CO 80913

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.

Emergency Medicine
1650 COCHRANE CIR
FORT CARRSON, CO 80913
Emergency Medicine
1650 COCHRANE CIR
FORT CARSON, CO 80913
Nurse Anesthetist, Certified Registered
1650 COCHRANE CIR
FORT CARSON, CO 80913
Podiatrist (Foot & Ankle Surgery)
1650 COCHRANE CIR
FORT CARSON, CO 80913
Physician Assistant
1650 COCHRANE CIR
FORT CARSON, CO 80913
Occupational Therapist
1650 COCHRANE CIR
COLORADO SPRINGS, CO 80913
Registered Nurse
1650 COCHRANE CIR
FORT CARSON, CO 80913
Family Medicine (Adolescent Medicine)
1650 COCHRANE CIR, ADOLESCENT MEDICINE USA MEDDAC, EACH,
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.