Elite Spine Services Pllc
Elite Spine Services Pllc is a healthcare organization registered as Surgical Physician Assistant in Longview, TX, holding Type 2 (organization) NPI 1023607454 since 2021. The authorized official on file is Rekha Wagle, Npi Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023607454 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Elite Spine Services Pllc |
| Practice address | 700 E MARSHALL AVE, Longview, TX, 75601 |
| Phone | 8177568236 |
| Enumeration date | 2021-01-11 |
| Last updated in NPPES | 2021-01-25 |
Authorized official
| Name | Rekha Wagle |
|---|---|
| Title | Npi Administrator |
| Phone | 8177568232 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363AS0400X | Surgical Physician Assistant | Primary | — | — |
Copy-ready billing details
Provider: Elite Spine Services Pllc NPI: 1023607454 Taxonomy: 363AS0400X (Surgical Physician Assistant) Address: 700 E MARSHALL AVE, Longview, TX, 75601
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396740668 | Peter Jerome | Individual | Pulmonary Disease Physician | Longview, TX |
| 1184629990 | Sushama Brimmer | Individual | Internal Medicine Physician | Longview, TX |
| 1861492670 | Select Specialty Hospital - Longview Inc | Organization | Long Term Care Hospital | Longview, TX |
| 1255329322 | Weng Yu Thong | Individual | Anesthesiology Physician | Longview, TX |
| 1306835442 | Brian Mendenhall | Individual | Emergency Medicine Physician | Longview, TX |
| 1083603021 | Stanley Upchurch | Individual | Emergency Medicine Physician | Longview, TX |
| 1447249503 | James Nichols | Individual | Emergency Medicine Physician | Longview, TX |
| 1598754657 | Angela Ozment | Individual | Internal Medicine Physician | Longview, TX |
Verify this record
Cross-check NPI 1023607454 against the authoritative CMS record: view Elite Spine Services Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Elite Spine Services Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-01-25.