Individual provider Active NPI

Hervey Galvan, MPAS, PA-C

  • Medical Physician Assistant
  • Elsa, TX
National Provider Identifier
1629333786
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA04302 Issued in TX
Practice address
200 W.Edinburg Hwy 107
Elsa, TX 78543-0000
Phone
(956) 262-9804
Fax
(956) 262-9233
NPI assigned
Jul 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA04302 TX Primary

Addresses

Primary practice location

200 W.Edinburg Hwy 107
Elsa, TX 78543-0000

Mailing address

200 W Edinburg Hwy 107
Elsa, TX 78543
Phone (956) 262-9804

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140626001553 TX Practitioner - Physician Assistant 6103041587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis Dermatology Group, PLLCGroup PAC ID 5890703508, 15 clinicians

Practice addresses (Care Compare)

3100 Buddy Owens Ave
Suite 101
McAllen, TX 78504-6464
Phone (956) 971-0404

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA04302TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Dermatology Starr County PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1629333786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W EDINBURG HWY 107",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "78543",
            "telephone_number": "956-262-9804",
            "fax_number": "956-262-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W.EDINBURG HWY 107",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "785430000",
            "telephone_number": "956-262-9804",
            "fax_number": "956-262-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVAN",
        "first_name": "HERVEY",
        "name_prefix": "Mr.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elsa, TX

Sources for this page

Verify at the official NPI Registry.