Active NPI
Steven Gabel, MD
- Otolaryngology Physician
- Tigard, OR
National Provider Identifier
1396845756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD23085
- Practice address
- 12115 SW 70TH Ave Ste 200
Tigard, OR 97223 - Phone
- (503) 693-1118
- Fax
- (503) 893-3127
- NPI assigned
- Sep 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD23085 | OR | Primary |
Addresses
Primary practice location
12115 SW 70TH Ave Ste 200
Tigard, OR 97223
Mailing address
12115 SW 70TH Ave Ste 200
Tigard, OR 97223-9648
Phone (503) 693-1118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287225 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 30, 2020 through Dec 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD23085 | OR | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1396845756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12115 SW 70TH AVE STE 200",
"city": "TIGARD",
"state": "OR",
"postal_code": "972239648",
"telephone_number": "503-693-1118",
"fax_number": "503-893-3127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12115 SW 70TH AVE STE 200",
"city": "TIGARD",
"state": "OR",
"postal_code": "97223",
"telephone_number": "503-693-1118",
"fax_number": "503-893-3127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABEL",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OR",
"license": "MD23085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287225",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.