Matthew D Ried, PA-C, MPAS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

6337 Shooting Iron Way
Colorado Springs, CO 80923-7403

Phone

(520) 456-4910

NPI assigned

Oct 18, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pain Specialists of Charleston PA

  • Interventional Pain Medicine Physician
  • North Charleston, SC
  • NPI 1760636856
  Medicare reassignment NPD
• Pain Specialists of Charleston

  • Interventional Pain Medicine Physician
  • Pawleys Island, SC
  • NPI 1376218404
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1891048682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6337 SHOOTING IRON WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809237403",
            "telephone_number": "520-456-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6337 SHOOTING IRON WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809237403",
            "telephone_number": "520-456-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIED",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Witter Ridings, M.D.
• Danette B. Ridler, DOCTORATE OF PT
• Robert Low Ridley, MD
• Michelle A Ridnour, MD
• Jasmine Danielle-Evans Riecken, OTR
• Falisha Rief, RBT
• Sheridan Rieke, COTA/L
• Deborah J Riekeman, D.C.
• Jamie C Riesberg, M.D.
• Hope Ryan Rietcheck, MD

• Physician Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.