Active NPI
Carmine M Vincifora, M.D.
- Pain Medicine (Anesthesiology) Physician
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 336061
- Practice address
- 703 E Marshall Ave Ste 5008
Longview, TX 75601-5557 - Phone
- (903) 315-2032
- NPI assigned
- Jun 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Q9072 | TX | |
| Surgery Physician | 208600000X | R72157 | AZ | |
| Anesthesiology Physician | 207L00000X | Q9072 | TX | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 336061 | LA | Primary |
Addresses
Primary practice location
703 E Marshall Ave Ste 5008
Longview, TX 75601-5557
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 606-6400
Other practice location 1
701 E Marshall Ave Ste 400
Longview, TX 75601-5595
Phone (903) 315-2032
Other practice location 2
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-4500
Other practice location 3
385 Bert Kouns Industrial Loop Ste 300
Shreveport, LA 71106-8158
Phone (318) 212-0552
Other practice location 4
815 S Washington Ave Ste 304
Marshall, TX 75670-5358
Phone (903) 315-2032
Other practice location 5
703 E Marshall Ave Ste 4003
Longview, TX 75601-5500
Phone (903) 315-2032
Other practice location 6
9091 Ellerbe Rd Ste 200
Shreveport, LA 71106-6737
Phone (318) 681-6260
Other practice location 7
1449 E Bert Koun Loop Ste 101
Shreveport, LA 71105-5663
Phone (318) 681-4282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1449 E Bert Koun Loop
Shreveport, LA 71105-5663
Phone (318) 681-4282
1449 E Bert Kouns Industrial Loop
Suite 101
Shreveport, LA 71105-5663
Phone (318) 681-4282
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4138
5016 Gilmer Rd
Longview, TX 75604-9666
Phone (903) 653-1823
9220 Ellerbe Rd
700 Christus Primary Care Partners
Shreveport, LA 71106-6709
Phone (318) 681-5282
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q9072 | TX | MD | Anesthesiology Physician |
| R72157 | AZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles R Gordon MD PA | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Charles R Gordon MD PA | Pain Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Anesthesiology | Current | Accepting new patients |
| East Texas Border Health Clinic | Past | Accepting new patients | |
| Precision Surgery Center, LLC. | Past | Accepting new patients |
Locations
9091 Ellerbe Rd
Ste 200
Shreveport, LA 71106
Phone (318) 681-1630
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
1449 E Bert Kouns Industrial Loop
Ste 101
Shreveport, LA 71105
Phone (318) 681-4282
1600 Broadway Ave
Gladewater, TX 75647
Phone (903) 315-5630
703 E Marshall Ave
Ste 4003
Longview, TX 75601
Phone (903) 234-1830
5016 Gilmer Rd
Longview, TX 75604
Phone (903) 553-0035
701 E Marshall Ave
Ste 400
Longview, TX 75601
Phone (903) 315-1696
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
703 E Marshall Ave
Ste 5008
Longview, TX 75601
Phone (903) 315-4800
116 Christie Dr
Lufkin, TX 75904
Phone (936) 249-1866
815 S Washington Ave
Ste 304
Marshall, TX 75670
Phone (903) 315-2032
1802 Moores Ln
Ste 200
Texarkana, TX 75503
Phone (714) 206-2154
1802 Moores Ln
Texarkana, TX 75503
Phone (903) 306-0711
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- cvincifora149747@christushealth.direct-ci.net
- carmine.vinciforamd.p1@direct.precisionspinecare.nextgenshare.com
- carmine.vinciforamd.p2@direct.precisionspinecare.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Lufkin, TX
- NPI 1720513328
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Federally Qualified Health Center (FQHC)
- Texarkana, TX
- NPI 1598366718
-
- Ambulatory Surgical Clinic/Center
- Texarkana, TX
- NPI 1669959151
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1265752315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-606-6400",
"fax_number": "903-606-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 E MARSHALL AVE STE 5008",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015557",
"telephone_number": "903-315-2032"
}
],
"practiceLocations": [
{
"address_1": "701 E Marshall Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015595",
"country_code": "US",
"telephone_number": "903-315-2032",
"fax_number": "903-315-2719",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 E Dawson St",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012036",
"country_code": "US",
"telephone_number": "903-606-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "385 Bert Kouns Industrial Loop Ste 300",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711068158",
"country_code": "US",
"telephone_number": "318-212-0552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "815 S Washington Ave Ste 304",
"address_purpose": "LOCATION",
"city": "Marshall",
"state": "TX",
"postal_code": "756705358",
"country_code": "US",
"telephone_number": "903-315-2032",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "703 E Marshall Ave Ste 4003",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015500",
"country_code": "US",
"telephone_number": "903-315-2032",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9091 Ellerbe Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711066737",
"country_code": "US",
"telephone_number": "318-681-6260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1449 E Bert Koun Loop Ste 101",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711055663",
"country_code": "US",
"telephone_number": "318-681-4282",
"fax_number": "318-681-4168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINCIFORA",
"first_name": "CARMINE",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-10",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "Q9072",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "R72157",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "Q9072",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "LA",
"license": "336061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.