Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467407122 Individual Practitioner Male Practitioner

Keith Eugene Long , PA-C

Physician Assistant • Madras, OR

Professional Overview & Biography Verified Profile Summary

Keith Long, PA-C is a registered healthcare professional specializing in Physician Assistant in Madras, OR. Practice services are available at 76 NE 12TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

76 Ne 12th St

Madras, OR 977411827

Telephone 5414753874
Fax 5414753503
Associated Practice Facility / Clinic
🏢 Madras Medical Group P.c. Facility NPI 1093768533

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Madras, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.3 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Madras, OR (2106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA00386

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
150563 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Karen Potampa , NMNP-PP

Nurse Practitioner - Family

NPI 1174687867

NMNPPP

Dr. Gary Plant , MD

Family Medicine

NPI 1417900317

Doctor of Medicine (M.D.)

NPI 1518964600

Doctor of Medicine (M.D.)

Dr. Leland Beamer , MD

Family Medicine

NPI 1659324390

Doctor of Medicine (M.D.)

NPI 1679526552

Doctor of Medicine (M.D.)

NPI 1740774694

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 76 NE 12TH ST, MADRAS, OR 977411827 (Tel: 5414753874)

📍
Updated Business Mailing Address July 09, 2007

Registered at 76 NE 12TH ST, MADRAS, OR 977411827 (Tel: 5414753874)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as KEITH LONG, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Physician Assistant (License #PA00386 in OR)

🟢
Initial NPI Registration & Enumeration May 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467407122
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

76 Ne 12th St

Madras, OR 977411827

Phone: 5414753874

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.