UPPER VALLEY ENT & ALLERGY PLLC
NPI 1124462494
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Rexburg, ID
NPI Status: Active since April 17, 2013
Contact Information
256 N 2ND E
REXBURG, ID
ZIP 83440
Phone: (208) 656-9646
Fax: (208) 656-9645
- Organization
- Otolaryngology
- Otolaryngology/Facial Plastic Surgery
- Accepts Insurance
- CLIA Number: 13D1065502
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-01-2027
About UPPER VALLEY ENT & ALLERGY PLLC
This page provides the complete NPI Profile along with additional information for Upper Valley Ent & Allergy Pllc, a provider established in Rexburg, Idaho operating as a Otolaryngology, focusing in otolaryngology/facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1124462494 assigned on April 2013. The practitioner's primary taxonomy code is 207YX0905X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Jay Robert Mcmaster Do (Physician/surgeon)
- NPI
- 1124462494
- Provider Name
- UPPER VALLEY ENT & ALLERGY PLLC
- Entity Type
- Organization
- Location Address
- 256 N 2ND E REXBURG, ID 83440
- Location Phone
- (208) 656-9646
- Location Fax
- (208) 656-9645
- Mailing Address
- 256 N 2ND E REXBURG, ID 83440
- Mailing Phone
- (208) 656-9646
- Mailing Fax
- (208) 656-9645
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-17-2013
- Last Update Date
- 06-11-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology Otolaryngology/Facial Plastic Surgery
- Taxonomy Code
- 207YX0905X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207KA0200X | Allopathic & Osteopathic Physicians | Allergy & Immunology | |
| 2 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D1065502
- Facility Type
- Physician Office
- Certificate Effective Date
- March 02, 2025
- Certificate Expiration Date
- March 01, 2027
- Laboratory Director
- BARRY PETERSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Upper Valley Ent & Allergy Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124462494, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
REXBURG, ID 83440
REXBURG, ID 83440
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124462494, enumerated as an "organization" on April 17, 2013.
The provider is located at 256 N 2ND E REXBURG, ID 83440 and the phone number is (208) 656-9646.
Otolaryngology with taxonomy code 207YX0905X and a focus in Otolaryngology/Facial Plastic Surgery.
The provider might be accepting Accepts: University of Utah Health Plans. Please consult your insurance carrier or call the provider to verify.
