Gavin John Le Nobel, MD

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

S7086 Issued in TX

Practice address

14211 FM 2920 Road
Suite 110
Tomball, TX 77377

Phone

(281) 737-1910

Fax

(281) 737-1911

NPI assigned

Aug 14, 2020

Reactivated

Jun 18, 2021

Last updated

Jun 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Otolaryngology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
• Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342
• Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
• Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glenobel342938@directhoustonmethodist.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Houston Methodist Specialty Physicians

  • Otolaryngology Physician
  • Houston, TX
  • NPI 1902614332
  Medicare reassignment Care Compare group NPD
• TMH Physician Associates PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1275779225
  Medicare reassignment Care Compare group NPD
• TMH Physician Associates PLLC

  • Orthopaedic Surgery Physician
  • Spring, TX
  • NPI 1043061351
  NPD
• Houston Methodist

  • Nurse Practitioner
  • Houston, TX
  • NPI 1992178693
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Health Centers

  dba Houston Methodist The Woodlands Hospital

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1184179194
  Care Compare affiliation
• Methodist Health Centers

  dba Houston Methodist Cypress Hospital

  • General Acute Care Hospital
  • Cypress, TX
  • NPI 1629828405
  Care Compare affiliation
• Methodist Health Centers

  dba Houston Methodist Willowbrook Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1871619254
  Care Compare affiliation
• The Methodist Hospital

  dba Houston Methodist Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1548387418
  Care Compare affiliation

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1841801594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14211 FM 2920 ROAD",
            "address_2": "SUITE 110",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77377",
            "telephone_number": "281-737-1910",
            "fax_number": "281-737-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14211 FM 2920 ROAD",
            "address_2": "SUITE 110",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77377",
            "telephone_number": "281-737-1910",
            "fax_number": "281-737-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE NOBEL",
        "first_name": "GAVIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "deactivation_date": "2021-05-28",
        "reactivation_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TX",
            "license": "S7086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Leanne Landino
• Ashley Ann Latham
• Laura Davidson MD PA
• Tara Lynn Lawley, RD
• Toni Rochelle Lazurs, MA, M.ED., LPC-S
• David T Le, M.D., P.A.
• Hang A Le, D.O.
• Mark D. Le, M.D.
• Michael J Leahy, MD
• Emma Clare Lean, PT

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Tomball, TX
• Providers in Tomball, TX by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.