Individual provider Active NPI

Lynette M Gogol, D.O.

  • Neurology Physician
  • Pearland, TX
National Provider Identifier
1225062862
Registry record updated Jan 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L2281 Issued in TX
Practice address
2225 County Rd 90
Suite 107
Pearland, TX 77584-4891
Phone
(281) 485-2337
Fax
(281) 485-2985
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X L2281 TX Primary

Addresses

Primary practice location

2225 County Rd 90
Suite 107
Pearland, TX 77584-4891

Mailing address

2225 County Rd 90
Suite 107
Pearland, TX 77584-4891
Phone (281) 485-2337

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000375 TX Practitioner - Neurology 4981630449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
West Virginia School of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKinney Podiatric Associates PAGroup PAC ID 3072540731, 7 clinicians

Practice addresses (Care Compare)

11914 Astoria Blvd
Suite 250
Houston, TX 77089-6074
Phone (281) 484-2400

8633 Broadway St
Suite 117
Pearland, TX 77584-8497
Phone (281) 485-2988

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L2281TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McKinney Podiatric Associates PA Neurology CurrentSince Jan 1, 2006 Accepting new patients
McKinney Podiatric Associates PA Neurology Past Accepting new patients
McKinney Podiatric Associates PA Neurology Past Accepting new patients
McKinney Podiatric Associates PA Neurology PastSince Jun 4, 2023 Accepting new patients

Locations

11914 Astoria Blvd
Ste 250
Houston, TX 77089
Phone (281) 484-2400

3692 E Sam Houston Pkwy S
Ste 100
Pasadena, TX 77505
Phone (713) 946-1500

8633 Broadway St
Ste 117
Pearland, TX 77584
Phone (281) 485-2988

2225 County Road 90
Ste 107
Pearland, TX 77584
Phone (832) 979-4001

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1225062862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 COUNTY RD 90",
            "address_2": "SUITE 107",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844891",
            "telephone_number": "281-485-2337",
            "fax_number": "281-485-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 COUNTY RD 90",
            "address_2": "SUITE 107",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844891",
            "telephone_number": "281-485-2337",
            "fax_number": "281-485-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGOL",
        "first_name": "LYNETTE",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L2281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.