Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB JAMES RIDDER, PA-C
ActiveJACOB JAMES RIDDER, PA-C is a Medical Physician Assistant healthcare provider located in OMAHA, Nebraska. NPI 1508291717 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · OMAHA, NE
Registration Details
- NPI Number
- 1508291717
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2013 (12.968348798632 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
1768 (NE)002439 (IA)1768 (NE)
Practice Information
- Address
-
12910 PIERCE ST STE 120OMAHA, NE, 681441106Browse NE providers · Browse ZIP 68144
- Phone
- 4029333770
- Fax
- 4029333633
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in OMAHA, NE
| Name | Credential | NPI |
|---|---|---|
| KARLA G. LESSMAN | PA-C | 1528062239 |
| CHARLES A BLANKMAN | PA | 1871588319 |
| LAURA SUE BAKER | PA | 1558356832 |
| RICHARD E BAILEY III | PA | 1265427488 |
| GREGORY R LOYD | PA | 1053306209 |
| JENNIFER M VAUGHN | PA | 1003802562 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.