Individual provider · Type 1 NPI

Jerry Rider, PA-C

Physician Assistant · Fort Carson, CO

NPI number 1194884494 Active

Practice location

1650 Cochrane Cir
Fort Carson, CO 80913-4613

Call (719) 526-2361 Map

Mailing address

10th Medical Group/sghc, 4102 Pinion Dr
Air Force Academy, CO 80840

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X2594 (TN)
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant 363AS0400X2594 (TN)

Physician Assistant: 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, orde…

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About NPI 1194884494

Jerry Rider, PA-C's National Provider Identifier is 1194884494, issued on Dec 6, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Carson, CO. The record was last updated on Jun 13, 2024.