STAFFORD R LONG PA-C
NPI 1851343396
Physician Assistant - Surgical in Shreveport, LA

Active since May 16, 2006PECOS Enrolled
2751 ALBERT L BICKNELL DR, SUITE 1-B, SHREVEPORT, LA 71103(318) 212-8776(318) 212-8774 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stafford R Long Pa-c NPPES

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

STAFFORD R LONG PA-C (NPI 1851343396) is an individual surgical provider in Shreveport, Louisiana, licensed in Louisiana (PA A10311) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851343396
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameSTAFFORD R LONGCredential: PA-C
Location Address2751 ALBERT L BICKNELL DR, SUITE 1-BShreveport, LA 71103-3920
Mailing Address2751 Albert L Bicknell Dr, Suite 1-bShreveport, LA 71103-3920 · (318) 212-8776 · Fax (318) 212-8774
Fax(318) 212-8774
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateJune 3, 2021
NPPES CertifiedJune 3, 2021
NPI 1851343396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in LA · PA A10311
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA.A10311 (LA)
2751 ALBERT L BICKNELL DR, Shreveport, LA 71103

Other Identifiers 1

Medicaid1722928LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stafford R Long Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
128 services123 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
94 services93 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
87 services81 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services20 patients

Other Providers at the Same Location NPPES 20

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

Surgery
2751 ALBERT L BICKNELL DR, SUITE 5-A
SHREVEPORT, LA 71103
Nurse Practitioner (Family)
2751 ALBERT L BICKNELL DR, SUITE 1A
SHREVEPORT, LA 71103
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2751 ALBERT L BICKNELL DR, SUITE 5C
SHREVEPORT, LA 71103
Transplant Surgery
2751 ALBERT L BICKNELL DR, 4TH FLOOR
SHREVEPORT, LA 71103
Surgery
2751 ALBERT L BICKNELL DR, SUITE 3D
SHREVEPORT, LA 71103
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2751 ALBERT L BICKNELL DR, SUITE 5C
SHREVEPORT, LA 71103
Surgery
2751 ALBERT L BICKNELL DR, SUITE 3D
SHREVEPORT, LA 71103
Specialist
2751 ALBERT L BICKNELL DR, STE 3-D
SHREVEPORT, LA 71103

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 Stafford Long's NPI number?

The NPI number for Stafford Long is 1851343396. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Stafford Long located?

Stafford Long practices at 2751 Albert L Bicknell Dr Suite 1-B, Shreveport, LA 71103. The listed phone number is (318) 212-8776.

What is Stafford Long's specialty?

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

Is Stafford Long enrolled in Medicare?

Yes. Stafford Long is registered in the Medicare PECOS enrollment system.

What insurance does Stafford Long accept?

Health plans from CHRISTUS Health Plan and HMO Louisiana list Stafford Long as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stafford Long was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.