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RANDY J. LONG PA-C, FAPACUS
NPI 1366520686
Physician Assistant in Wichita, KS

Active since November 02, 2006
9350 E. 35TH STREET NORTH, SUITE 104, WICHITA, KS 67226(316) 616-6272(316) 858-7085 Get Directions Write a Review

NPPES record last updated: January 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randy J. Long Pa-c, Fapacus NPPES

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

RANDY J. LONG PA-C, FAPACUS (NPI 1366520686) is an individual physician assistant in Wichita, Kansas, licensed in Kansas (15-00793) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1366520686
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRANDY J. LONGCredential: PA-C, FAPACUS
Location Address9350 E. 35TH STREET NORTH, SUITE 104Wichita, KS 67226
Mailing Address9350 E. 35th Street North, Suite 104Wichita, KS 67226 · (316) 616-6272 · Fax (316) 616-0407
Phone(316) 616-6272
Fax(316) 858-7085
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateJanuary 28, 2010
✔ NPI 1366520686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in KS · 15-00793✔ Licensed in KS · 1500793
Definition
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.
9350 E. 35TH STREET NORTH, Wichita, KS 67226
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Other Identifiers 7

Medicare ID-Type Unspecified426953KS
Medicaid100402610BKS
Other426953KS · Blue Cross Blue Shield
Medicare UPINP38774KS
Medicaid2004260304KS
Medicare PIN427223KS
Medicare UPINP38774

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 Long's NPI number?

The NPI number for Randy Long is 1366520686. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Randy Long located?

Randy Long practices at 9350 E. 35th Street North Suite 104, Wichita, KS 67226. The listed phone number is (316) 616-6272.

What is Randy Long's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Randy Long was last updated on January 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.