MR. DARREL SIDES CSA
NPI 1114079878
Physician Assistant - Surgical in Independence, KY

Q: What is Darrel Sides's NPI number?

The NPI number for Darrel Sides is 1114079878. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Darrel Sides's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Darrel Sides was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 16, 2007

6271 MARTYS TRAIL, INDEPENDENCE, KY 41051(859) 816-6684(859) 356-0682 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Darrel Sides Csa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DARREL SIDES CSA (NPI 1114079878) is an individual surgical provider in Independence, Kentucky, licensed in Kentucky (SA109) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114079878

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. DARREL SIDESCredential: CSA

Location Address6271 MARTYS TRAILIndependence, KY 41051-0583

Mailing AddressPo Box 583Independence, KY 41051-0583 · (859) 816-6684 · Fax (859) 356-0682

Phone(859) 816-6684

Fax(859) 356-0682

Sole ProprietorNo

Enumeration DateJanuary 16, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114079878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in KY · SA109

6271 MARTYS TRAIL, Independence, KY 41051

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Other Identifiers 1

Other000000308821KY · Bc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Darrel Sides's NPI number?

The NPI number for Darrel Sides is 1114079878. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Darrel Sides located?

Darrel Sides practices at 6271 Martys Trail, Independence, KY 41051. The listed phone number is (859) 816-6684.

What is Darrel Sides's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Darrel Sides was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.