Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114079878 Individual Practitioner Male Practitioner

Darrel Sides , CSA

Physician Assistant - Surgical • Independence, KY

Professional Overview & Biography Verified Profile Summary

Darrel Sides, CSA is a registered healthcare professional specializing in Physician Assistant - Surgical in Independence, KY. Practice services are available at 6271 MARTYS TRAIL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6271 Martys Trail

Independence, KY 410510583

Telephone 8598166684
Fax 8593560682

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Independence, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Independence, KY (121 Statewide)

Telehealth Adoption Rate
0.0% 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 - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License KY SA109

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bc
000000308821 (KY)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 6271 MARTYS TRAIL, INDEPENDENCE, KY 410510583 (Tel: 8598166684)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 583, INDEPENDENCE, KY 410510583 (Tel: 8598166684)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DARREL SIDES, CSA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #SA109 in KY)

🟢
Initial NPI Registration & Enumeration January 16, 2007

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: 1114079878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 583

Independence, KY 410510583

Phone: 8598166684

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.