Michele Leigh Gambrel, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00543 Issued in TX

Practice address

201 Oak Dr South #107
Lake Jackson, TX 77566-5626

Phone

(979) 297-0028

Fax

(979) 297-0504

NPI assigned

Sep 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Dr. Harvey Resnick, Assoc.

  • Family Medicine Physician
  • Lake Jackson, TX
  • NPI 1629247879
  Medicare reassignment
• Kelsey-Seybold Medical Group, PLLC

  dba Kelsey Seybold Clinic

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1013915255
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1801990353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OAK DR SOUTH #107",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665626",
            "telephone_number": "979-297-0028",
            "fax_number": "979-297-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OAK DR SOUTH #107",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665626",
            "telephone_number": "979-297-0028",
            "fax_number": "979-297-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBREL",
        "first_name": "MICHELE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "00834Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PA00543",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard C Fugler, DDS , MD
• Jessica Fuller
• Functional Healing, PLLC
• Matthew Flordelis Furman, LPC
• Kathryn Nicole Gadbois
• Amanda Nicole Garcia, NP
• Garden Gate Cottage
• Daniel Ray Garlitos, MD
• Joe Garrett, R.PH.
• Jorge Enrique Garrett, OD

• Medical Physician Assistant in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.