Organization Active NPI

Synova Health

  • Orthopaedic Surgery Physician
  • West Lake Hills, TX
National Provider Identifier
1407692817
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SYNOVA HEALTH
Practice address
5656 Bee Caves Rd Ste F201
West Lake Hills, TX 78746-5236
Phone
(512) 492-5755
Fax
(512) 727-3982
NPI assigned
Jul 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Mr. Gabriel L Petty, PA-CNPI 1447485214
Title
Manager
Phone
(512) 492-5755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

5656 Bee Caves Rd Ste F201
West Lake Hills, TX 78746-5236

Mailing address

5656 Bee Caves Rd Ste F201
West Lake Hills, TX 78746-5236
Phone (512) 492-5755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240903000765 TX Part B Supplier - Clinic/Group Practice 8022557222 Receives reassigned benefits from 3 practitioners
Practice locations: West Lake Hills, TX

National Provider Directory

National Provider Directory

Locations

5656 Bee Caves Rd
Ste F201
West Lake Hills, TX 78746
Phone (512) 492-5755

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1407692817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE F201",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465236",
            "telephone_number": "512-492-5755",
            "fax_number": "512-727-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE F201",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465236",
            "telephone_number": "512-492-5755",
            "fax_number": "512-727-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNOVA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-492-5755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.