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

NPI Status: Active since January 16, 2007

Contact Information

6271 MARTYS TRAIL
INDEPENDENCE, KY
ZIP 41051
Phone: (859) 816-6684
Fax: (859) 356-0682

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  • Individual
  • Male
  • Physician Assistant
  • Surgical

About DARREL SIDES

This page provides the complete NPI Profile along with additional information for Darrel Sides, a provider established in Independence, Kentucky with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1114079878 assigned on January 2007. The practitioner's primary taxonomy code is 363AS0400X with license number SA109 (KY). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1114079878
Provider Name
MR. DARREL SIDES CSA
Gender
Male
Entity Type
Individual
Location Address
6271 MARTYS TRAIL INDEPENDENCE, KY 41051
Location Phone
(859) 816-6684
Location Fax
(859) 356-0682
Mailing Address
PO BOX 583 INDEPENDENCE, KY 41051
Mailing Phone
(859) 816-6684
Mailing Fax
(859) 356-0682
Is Sole Proprietor?
No
Enumeration Date
01-16-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
SA109
License State
KY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000000308821OTHER (01)KYBC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114079878, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 0 + 7 + 1 + 8 + 8 + 1 + 4 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1114079878.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114079878, enumerated as an "individual" on January 16, 2007.

The provider is located at 6271 MARTYS TRAIL INDEPENDENCE, KY 41051 and the phone number is (859) 816-6684.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.