Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Russell David Fike, PA-C

Individual provider Physician Assistant · NPI 1891252680

Mr. Russell David Fike, PA-C is a Physician Assistant in Olathe, Kansas. Qualified in 2018, 8 years ago. Practices with Jayhawk Primary Care Inc, a 157-clinician group and accepts Medicare assignment. Licensed in California and Kansas.

Years since qualifying
8
Licensed in
CA, KS
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

18200 W 119th St
Olathe, KS 66061-9507
Phone: (913) 355-8350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-02556 (KS)
Physician Assistant Taxonomy 363A00000X · Licence 56568 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 56568 (CA)

Record details

NPI number1891252680
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 27, 2019
Last updated in NPPESNovember 29, 2021
Certification dateNovember 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Jayhawk Primary Care Inc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Olathe