Individual provider Active NPI

Ryan Neilan Teague, PA-C

  • Physician Assistant
  • Uvalde, TX
National Provider Identifier
1891973871
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05680 Issued in TX
Practice address
1195 Garner Field Rd. Ste. 300
Uvalde, TX 78801
Phone
(830) 278-3086
Fax
(830) 278-8873
NPI assigned
Feb 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05680 TX Primary

Addresses

Primary practice location

1195 Garner Field Rd. Ste. 300
Uvalde, TX 78801

Mailing address

1195 Garner Field Rd. Ste. 300
Uvalde, TX 78801
Phone (830) 278-3086

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
I20080425000485 TX Practitioner - Physician Assistant 4789762097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uvalde Medical and Surgical AssociatesGroup PAC ID 3971650672, 13 clinicians

Practice addresses (Care Compare)

1195 Garner Field Rd
Suite 300
Uvalde, TX 78801-4822
Phone 83027862511175

Hospital & facility affiliations

  • Uvalde Memorial Hospital Hospital, Uvalde, TX, CCN 451387

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA05680TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Uvalde Medical and Surgical Associates CurrentSince Dec 1, 2017 Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Locations

1195 Garner Field Rd
Ste 500
Uvalde, TX 78801
Phone (830) 278-3027

1195 Garner Field Rd
Ste 400
Uvalde, TX 78801
Phone (830) 278-1652

1195 Garner Field Rd
Ste 300
Uvalde, TX 78801
Phone (830) 278-3086

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1891973871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 GARNER FIELD RD. STE. 300",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "78801",
            "telephone_number": "830-278-3086",
            "fax_number": "830-278-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 GARNER FIELD RD. STE. 300",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "78801",
            "telephone_number": "830-278-3086",
            "fax_number": "830-278-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "RYAN",
        "middle_name": "NEILAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uvalde, TX

Sources for this page

Verify at the official NPI Registry.