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Active NPI 1255970786 Individual Practitioner Female Practitioner

Sidney Polzella

Physician Assistant • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Sidney Polzella is a registered healthcare professional specializing in Physician Assistant in Dayton, OH. Practice services are available at 4100 W 3RD ST under active NPI credentials.

Frequently performed procedures and clinical services include hemoglobin a1c level, automated urinalysis test, routine electrocardiogram (ecg) using at least 12 leads with tracing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4100 W 3rd St

Dayton, OH 454289000

Telephone 2686511937
Associated Practice Facility / Clinic
🏢 Dayton Vamc Facility NPI 1518916733

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
250 Specialists

Practicing in Dayton, OH (5376 Statewide)

Telehealth Adoption Rate
5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
82.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
39 32 $38.00 $9.52
81003 Automated urinalysis test
29 28 $29.00 $2.20

Medical Specialties & State Licenses

CMS Verified: 2024-09-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.008665RX

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Amy Mcmullen

Radiologic Technologist - Nuclear Medicine Technology

NPI 1003031410
NPI 1003605072

Physical Therapist, Doctor of Physical Therapy

Kathleen Rowell , PA-C

Physician Assistant - Medical

NPI 1003834961

Physician Assistant (Certified)

Dr. Douglas Paull , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1003839275

Doctor of Medicine (M.D.)

Louis Long , CTRS

Recreation Therapist

NPI 1003855362
Jason Andrus

Optometrist

NPI 1013319268

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location September 23, 2024

Registered at 4100 W 3RD ST, DAYTON, OH 454289000 (Tel: 2686511937)

📍
Updated Business Mailing Address September 23, 2024

Registered at 115 WOODFIELD PL, DAYTON, OH 454594629 (Tel: 5137097980)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2024

Physician Assistant (License #50.008665RX in OH)

📍
Updated Practice Location February 10, 2022

Registered at 100 RIVER ST, SPRINGFIELD, VT 051562930 (Tel: 8028868900)

📍
Updated Business Mailing Address February 10, 2022

Registered at 23 PETERSON RD, PLAINFIELD, NH 037815061 (Tel: 5137097980)

👤
Provider Name / Credentials Updated February 10, 2022

Recorded as SIDNEY POLZELLA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2022

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2020

Physician Assistant (License #055.0031463 in VT)

NPI Profile Active January 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 01, 2020

Registered at 24 AIRPORT RD, WEST LEBANON, NH 037841663 (Tel: 6032986617)

📍
Updated Business Mailing Address January 01, 2020

Registered at 4 S PARK ST APT 1, LEBANON, NH 037661476

👤
Provider Name / Credentials Updated January 01, 2020

Recorded as SIDNEY STACY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 01, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 01, 2020

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: 1255970786
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 01, 2020
Last Update: September 23, 2024
Sole Proprietor: Yes

Mailing Address

115 Woodfield Pl

Dayton, OH 454594629

Phone: 5137097980

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.