Ellisiv Lien (NPI# 1265670749, PAC ID# 3577629773) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1265670749 |
| PAC ID by PECOS | 3577629773 |
| Professional Enrollment ID | I20090312000315 |
| Full Name | Ellisiv Lien |
| Organization Legal Name | CHARLES R. GORDON., MD, PA |
| Address |
2737 S Broadway Ave Tyler TX 75701-5413 |
| Phone Number | 9035926000 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 8729992052 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450864 | BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2737 S Broadway Ave, Tyler, TX 75701-5413 | 9035926000 | CHARLES R. GORDON., MD, PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 96% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 89% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 85% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Organization Legal Name | CHARLES R. GORDON., MD, PA |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie K Partlow | Nurse Practitioner | Charles R. Gordon., Md, Pa | 5016 Gilmer Rd, Longview, TX 75604-9666 |
| Duane L Griffith | Anesthesiology | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| Laurence Rosenfield | Anesthesiology | Charles R. Gordon., Md, Pa | 203 W 20th C, Precision Spine Care, Mt Pleasant, TX 75455-2373 |
| James Alan Muns | Neurosurgery | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| Melissa Anne Neal | Nurse Practitioner | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| Charles R Gordon | Neurosurgery | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| James E Wortham | Physician Assistant | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| Austin Harper | Pain Management | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| Melinda Sue Smith | Nurse Practitioner | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| Aaron Heller | Pain Management | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| Street Address |
2737 S BROADWAY AVE |
| City | TYLER |
| State | TX |
| Zip | 75701-5413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duane L Griffith | Anesthesiology | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| James Alan Muns | Neurosurgery | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| Melissa Anne Neal | Nurse Practitioner | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| Charles R Gordon | Neurosurgery | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| James E Wortham | Physician Assistant | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| Austin Harper | Pain Management | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| Melinda Sue Smith | Nurse Practitioner | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| Aaron Heller | Pain Management | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| Aaron Calodney | Interventional Pain Management | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| Ruben B Delarosa | Physician Assistant | Charles R. Gordon., Md, Pa | 2737 S Broadway Ave, Tyler, TX 75701-5413 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose L Enriquez | Diagnostic Radiology | Tyler Radiology Associates, Pa | 1100 S Beckham, Tyler, TX 75701 |
| Frank P Reuter Jr. | Internal Medicine | 712 S Bois D Arc Ave, Tyler, TX 75701-1503 | |
| Tammy L Michaelsen | Chiropractic | Michaelsen Chiropractic Center, P.C. | 645 S Broadway Ave, Suite 1, Tyler, TX 75701-1676 |
| Mark R Michaelsen | Chiropractic | Michaelsen Chiropractic Center, P.C. | 645 S Broadway Ave, Suite 1, Tyler, TX 75701-1676 |
| James Louis Wasson | Obstetrics/gynecology | 649 S Broadway Ave, Suite 2, Tyler, TX 75701-1677 | |
| Michael C Ford | Ophthalmology | 714 Turtle Creek Dr, Tyler, TX 75701-1833 | |
| Rosalyn L Gooch | Certified Registered Nurse Anesthetist (crna) | Novamed Surgery Center of Tyler, Lp | 802 Turtle Creek Dr, Tyler, TX 75701-1900 |
| Evans S Smith | Emergency Medicine | 833 S Beckham Ave, Tyler, TX 75701-1905 | |
| Li-yu H Mitchell | Family Medicine | 833 S Beckham Ave, Tyler, TX 75701-1905 | |
| Joseph Leonard Decarlo | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| Find all physicians in zip 75701 | |||
| City | TYLER |
| Zip Code | 75701 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | TYLER + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Ellisiv Lien.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.