Active NPI
Valley Ear Nose & Throat Specialist PA
- Otolaryngology Physician
- McAllen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- 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
- Last updated
- Oct 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Theivagt, MD
- Title
- Partner/Officer
- Phone
- (956) 687-7896
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary | ||
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | |||
| Audiologist | 231H00000X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
2101 S Cynthia St
McAllen, TX 78503-1294
Mailing address
2101 S Cynthia St
McAllen, TX 78503-1294
Phone (956) 687-7896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
535 Stoval Rd
Brownsville, TX 78520
Phone (956) 350-8787
2205 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 628-9077
4426 S McColl Rd
Edinburg, TX 78539
Phone (956) 631-7704
1629 Treasure Hills Blvd
Ste B1
Harlingen, TX 78550
Phone (956) 364-1510
1629 Treasure Hills Blvd
Ste B5
Harlingen, TX 78550
Phone (956) 366-4500
510 Victoria Ln
Ste 5
Harlingen, TX 78550
Phone (956) 428-4221
2101 S Cynthia St
McAllen, TX 78503
Phone (956) 687-7896
2101 S Cynthia St
Ste A
McAllen, TX 78503
Phone (956) 687-7896
5326 E US Highway 83
Ste 1
Rio Grande City, TX 78582
2632 Broadway St
#202
San Antonio, TX 78215
Phone (956) 687-7896
2632 Broadway St
Ste 202
San Antonio, TX 78215
Practitioners & affiliated clinicians
Practitioners 23
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.
-
- Otolaryngology Physician
- Harlingen, TX
- NPI 1396840682
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- McAllen, TX
- NPI 1740251057
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- McAllen, TX
- NPI 1811992977
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- McAllen, TX
- NPI 1891790945
-
- Otolaryngology Physician
- San Antonio, TX
- NPI 1437133055
-
- Audiologist
- Edinburg, TX
- NPI 1366928236
-
- Otolaryngology Physician
- McAllen, TX
- NPI 1881699270
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- McAllen, TX
- NPI 1821093212
-
- Audiologist-Hearing Aid Fitter
- Brownsville, TX
- NPI 1295866861
-
- Otolaryngology Physician
- Edinburg, TX
- NPI 1902801988
-
- Otolaryngology Physician
- College Station, TX
- NPI 1447274675
-
- Physician Assistant
- McAllen, TX
- NPI 1912534819
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
- Valley Behavioral Center for Counseling, PLLC
- Valley Cardiology LLP
- Valley Care II Primary Home Care Services, LLC
- Valley Choice Healthcare Network
- Valley Counseling Center
- Valley Gastroenterology Clinic, P.a.
- Valley Hand and Plastic Surgery P.a.
- Valley Heart Consultants
- Valley Infectious Diseases Specialists PLLC
- Valley Intensivists, Pulmonologists and Sleep Specialists, P.L.L.C.
Sources for this page
- 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.