RANDY RAY BLUETHMAN P.A.
NPI 1306898986
Physician Assistant - Medical in Oklahoma City, OK

Active since May 16, 2006
3500 S WESTERN AVE, OKLAHOMA CITY, OK 73109(405) 632-5565(405) 632-3538 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randy Ray Bluethman P.a. NPPES

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

RANDY RAY BLUETHMAN P.A. (NPI 1306898986) is an individual medical provider in Oklahoma City, Oklahoma, licensed in Oklahoma (404) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1306898986
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRANDY RAY BLUETHMANCredential: P.A.
Location Address3500 S WESTERN AVEOklahoma City, OK 73109-2413
Mailing Address3500 S Western AveOklahoma City, OK 73109-2413 · (405) 632-5565 · Fax (405) 632-3538
Fax(405) 632-3538
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateJuly 29, 2010
NPI 1306898986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OK · 404
3500 S WESTERN AVE, Oklahoma City, OK 73109

Other Identifiers 2

Medicare ID-Type Unspecified242325800OK
Medicare UPINR10962OK

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
3500 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Dermatology (Dermatopathology)
3500 S WESTERN AVE
OKLAHOMA CITY, OK 73109
Dermatology (Dermatopathology)
3500 S WESTERN AVE
OKLAHOMA CITY, OK 73109

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 Randy Bluethman's NPI number?

The NPI number for Randy Bluethman is 1306898986. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Randy Bluethman located?

Randy Bluethman practices at 3500 S Western Ave, Oklahoma City, OK 73109. The listed phone number is (405) 632-5565.

What is Randy Bluethman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Randy Bluethman was last updated on July 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.