PRECISION SPINE CARE – NPI #1982717955
Neurological Surgery

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

PRECISION SPINE CARE is a neurological surgeon located in TYLER, TX. NPPES has assigned the NPI number 1982717955 to PRECISION SPINE CARE on August 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PRECISION SPINE CARE” is a dba name, the actual legal business name for this organization is CHARLES R GORDON MD PA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207T00000X from the Health Care Provider Taxonomy code set, which is classified as Neurological Surgery. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 6 years ago on Mar 10, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRECISION SPINE CARE below.

NPI Profile for
CHARLES R GORDON MD PA

NPI Number
1982717955
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLES R GORDON MD PA
Doing Business As (dba): PRECISION SPINE CARE
Primary location
2737 S BROADWAY AVE STE 200
TYLER, TX 75701-5445
Phone: (903) 592-6000 Fax: (903) 595-1592
Mailing address
PO BOX 6605
TYLER, TX 75711-6605
Phone: (903) 592-6000 Fax: (903) 595-1592
Organization Subpart
No
Authorized Official
CHARLES GORDON
PRESIDENT
Phone: (903) 592-6000
Updated
Certification Date
Mar 10, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PRECISION SPINE CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELD0023KV
MEDICAIDTX163108701
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.