Individual provider Active NPI

Carmine M Vincifora, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Longview, TX
National Provider Identifier
1265752315
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
336061 Issued in LA
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

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160720001977 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 3274826847 Reassigns benefits to 2 organizations
I20250923000063 LA Practitioner - Pain Management 3274826847 Reassigns benefits to 1 organization

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
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Charles R Gordon MD PAGroup PAC ID 8729992052, 24 clinicians

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

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q9072TXMDAnesthesiology Physician
R72157AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles R Gordon MD PA CurrentSince Feb 5, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 1, 2017 Accepting new patients
Charles R Gordon MD PA Pain Medicine CurrentSince Feb 5, 2025 Accepting new patients
Christus Trinity Clinic Texas Anesthesiology CurrentSince Jul 1, 2017 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

  • Direct secure messaging: cvincifora149747@christushealth.direct-ci.net
  • Direct secure messaging: carmine.vinciforamd.p1@direct.precisionspinecare.nextgenshare.com
  • Direct secure messaging: carmine.vinciforamd.p2@direct.precisionspinecare.nextgenshare.com
  • FHIR API: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.