Active NPI
Kenneth E Reesor, MD
- Orthopaedic Surgery of the Spine Physician
- Longview, TX
National Provider Identifier
1427049089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- J2752
- Practice address
- 3000 4TH St
Longview, TX 75605-5137 - Phone
- (903) 524-0917
- Fax
- (903) 553-7756
- NPI assigned
- Nov 2, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | J2752 | TX | Primary |
| Orthopaedic Surgery Physician | 207X00000X | J2752 | TX |
Addresses
Primary practice location
3000 4TH St
Longview, TX 75605-5137
Mailing address
3000 4TH St
Longview, TX 75605-5137
Phone (903) 524-0917
Other practice location 1
1806 E End Blvd N
Marshall, TX 75670-0728
Phone (903) 524-0917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Kentucky College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 4TH St
Longview, TX 75605-5137
Phone (903) 758-2746
Hospital & facility affiliations
- Choice Homecare of the Pines
- Accentcare Home Health of Texas
- Ut Health East Texas Home Health Services
- Longview Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.53 of 100
- Quality
- 79.07
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Spinal fusion | 165 |
| Laminectomy or laminotomy (partial removal of spine bones) | 53 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2752 | TX | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longview Specialty Physicians | Past | Accepting new patients |
Interoperability endpoints
- kenneth.ressor.1@16432.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Longview, TX
- NPI 1407047863
-
- Durable Medical Equipment & Medical Supplies
- Longview, TX
- NPI 1306063490
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pittsburg, TX
- NPI 1578061487
-
- General Acute Care Hospital
- Longview, TX
- NPI 1528026267
-
- Home Health Agency
- Longview, TX
- NPI 1770642324
-
- Home Health Agency
- Longview, TX
- NPI 1669695722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1427049089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756055137",
"telephone_number": "903-524-0917",
"fax_number": "903-553-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756055137",
"telephone_number": "903-524-0917",
"fax_number": "903-553-7756"
}
],
"practiceLocations": [
{
"address_1": "1806 E End Blvd N",
"address_purpose": "LOCATION",
"city": "Marshall",
"state": "TX",
"postal_code": "756700728",
"country_code": "US",
"telephone_number": "903-524-0917",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REESOR",
"first_name": "KENNETH",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TX",
"license": "J2752",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "J2752",
"primary": false
}
],
"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 Feb 11, 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.