Valley Ear Nose & Throat Specialist PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

VALLEY EAR NOSE & THROAT SPECIALIST PA

Practice address

2101 S Cynthia St
McAllen, TX 78503-1294

Phone

(956) 687-7896

Fax

(956) 994-9694

NPI assigned

Jun 13, 2005

Organization subpart

No

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

Authorized official

Name

Charles Theivagt, MDNPI 1396840682

Title

Partner/Officer

Phone

(956) 687-7896

Specialties & licenses 5

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 23

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

• Charles Patrick Theivagt, MD

  • Otolaryngology Physician
  • Harlingen, TX
  • NPI 1396840682
  Medicare reassignment NPD Authorized official
• John R. Austin, M.D., F.A.C.S.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • McAllen, TX
  • NPI 1740251057
  Medicare reassignment NPD
• Frank Robert Glatz, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • McAllen, TX
  • NPI 1811992977
  Medicare reassignment NPD
• Joseph Howard Hemer, DO

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • McAllen, TX
  • NPI 1891790945
  Medicare reassignment NPD
• Alastair Glyn Lynn-Macrae, MD

  • Otolaryngology Physician
  • San Antonio, TX
  • NPI 1437133055
  Medicare reassignment NPD
• Sandy Magallan, AUD

  • Audiologist
  • Edinburg, TX
  • NPI 1366928236
  Medicare reassignment NPD
• Keith Andrew Picou, MD

  • Otolaryngology Physician
  • McAllen, TX
  • NPI 1881699270
  Medicare reassignment NPD
• Gregory Spencer Rowin, DO

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • McAllen, TX
  • NPI 1821093212
  Medicare reassignment NPD
• Patricia Saldivar, AUDIOLOGIST

  • Audiologist-Hearing Aid Fitter
  • Brownsville, TX
  • NPI 1295866861
  Medicare reassignment NPD
• James Turner Wright, MD

  • Otolaryngology Physician
  • Edinburg, TX
  • NPI 1902801988
  Medicare reassignment NPD
• Steven Turner Wright, MD

  • Otolaryngology Physician
  • College Station, TX
  • NPI 1447274675
  Medicare reassignment NPD
• Cesar Garcia, PA-C

  • Physician Assistant
  • McAllen, TX
  • NPI 1912534819
  Medicare reassignment

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1386648798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S CYNTHIA ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031294",
            "telephone_number": "956-687-7896",
            "fax_number": "956-994-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S CYNTHIA ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031294",
            "telephone_number": "956-687-7896",
            "fax_number": "956-994-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY EAR NOSE & THROAT SPECIALIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "THEIVAGT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PARTNER/OFFICER",
        "authorized_official_telephone_number": "956-687-7896",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "00447N",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD5674",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080612703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in McAllen, TX
• Providers in McAllen, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.