NPIMap

Organization Active NPI

Ear, Nose, Throat & Allergy Consultants, PC

  • Otolaryngology Physician
  • Abingdon, VA
National Provider Identifier
1134564073
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101238767 Issued in VA
Legal business name
EAR, NOSE, THROAT & ALLERGY CONSULTANTS, PC
Practice address
26208 Lee Highway
Abingdon, VA 24211-7504
Phone
(276) 451-3044
Fax
(276) 451-3045
NPI assigned
May 6, 2013
Last updated
Nov 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Leticia Ibarra Peltzer, M.D.NPI 1437189149
Title
Owner/Provider
Phone
(276) 698-8099

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
Otolaryngology Physician 207Y00000X 0101238767 VA Primary

Addresses

Primary practice location

26208 Lee Highway
Abingdon, VA 24211-7504

Mailing address

26208 Lee Highway
Abingdon, VA 24211-7504
Phone (276) 451-3044

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131018000349 VA Part B Supplier - Clinic/Group Practice 7810121274 Receives reassigned benefits from 5 practitioners
Practice locations: Abingdon, VA

National Provider Directory

National Provider Directory

Locations

26208 Lee Hwy
Abingdon, VA 24211
Phone (276) 258-5537

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1134564073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26208 LEE HIGHWAY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117504",
            "telephone_number": "276-451-3044",
            "fax_number": "276-451-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26208 LEE HIGHWAY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117504",
            "telephone_number": "276-451-3044",
            "fax_number": "276-451-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE, THROAT & ALLERGY CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "PELTZER",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "IBARRA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "276-698-8099",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101238767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.