Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659525681 Individual Practitioner Male Practitioner

Kenneth Edward Nida , PA

Physician Assistant • Daytona Beach, FL

Professional Overview & Biography Verified Profile Summary

Kenneth Nida, PA is a registered healthcare professional specializing in Physician Assistant in Daytona Beach, FL. Practice services are available at 320 N CLYDE MORRIS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

320 N Clyde Morris Blvd

Daytona Beach, FL 321142744

Telephone 3862383293
Fax 3862383223
Associated Practice Facility / Clinic
🏢 East Coast Bariatrics, Inc. Facility NPI 1932428372

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
110 Specialists

Practicing in Daytona Beach, FL (10376 Statewide)

Telehealth Adoption Rate
8.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA 9107756

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
014260400 (FL)
Commercial Insurance / Payer ID Bcbs
Y0Q8M (FL)
Commercial Insurance / Payer ID Tricare
1659525681 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Jeffrey Smith , DO

Family Medicine

NPI 1063528974

Doctor of Osteopathic Medicine (D.O.)

Dr. Kyle Correll , MD

Family Medicine

NPI 1093195398

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2015

Registered at 320 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 321142744 (Tel: 3862383293)

📍
Updated Business Mailing Address June 08, 2015

Registered at PO BOX 9671, DAYTONA BEACH, FL 321209671 (Tel: 3866767130)

👤
Provider Name / Credentials Updated June 08, 2015

Recorded as KENNETH NIDA, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2015

Physician Assistant (License #PA 9107756 in FL)

🟢
Initial NPI Registration & Enumeration November 04, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659525681
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2008
Last Update: June 08, 2015
Sole Proprietor: No

Mailing Address

Po Box 9671

Daytona Beach, FL 321209671

Phone: 3866767130

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.