RANDY J. LONG PA-C FAPACUS NPI 1366520686

NPI Information

  • NPI: 1366520686
  • Provider Name: RANDY J. LONG, PA-C, FAPACUS
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 9350 E. 35TH STREET NORTH
    SUITE 104
    WICHITA, KS
    ZIP 67226
  • Phone: (316) 616-6272

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NPI Details

Randy J. Long, PA-C, FAPACUS is a physician assistant in Wichita, KS. The provider is 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. Randy J. Long, PA-C, FAPACUS NPI is 1366520686. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9350 E. 35TH STREET NORTH
SUITE 104
WICHITA, KS
ZIP 67226
Phone: (316) 616-6272
Fax: (316) 858-7085

The enumeration date for this NPI number is 11/2/2006 and was last updated on 1/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant1500793KANSASNo
2363A00000XPhysician Assistant15-00793KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1426953MEDICARE ID-TYPE UNSPECIFIEDKANSAS
2100402610BMEDICAIDKANSAS
3426953OTHERKANSASBLUE CROSS BLUE SHIELD
4P38774MEDICARE UPINKANSAS
52004260304MEDICAIDKANSAS
6427223MEDICARE PINKANSAS
7P38774MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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