1. Home
  2. Directory
  3. Idaho
  4. Rexburg
  5. Otolaryngology
  6. NPI Profile

UPPER VALLEY ENT & ALLERGY PLLC
NPI 1124462494
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Rexburg, ID

Active since April 17, 2013CLIA 13D1065502 · Waiver
256 N 2ND E, REXBURG, ID 83440(208) 656-9646(208) 656-9645 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Upper Valley Ent & Allergy Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPPER VALLEY ENT & ALLERGY PLLC (NPI 1124462494) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Rexburg, Idaho and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Jay Robert Mcmaster, Physician/surgeon, as its authorized official.

NPPES Registry Identity

NPI1124462494
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameUPPER VALLEY ENT & ALLERGY PLLC
Location Address256 N 2ND ERexburg, ID 83440-1638
Mailing Address256 N 2nd ERexburg, ID 83440-1638 · (208) 656-9646 · Fax (208) 656-9645
Phone(208) 656-9646
Fax(208) 656-9645
Organization SubpartNo
Authorized OfficialJay Robert McmasterPhysician/surgeon · (208) 656-9646
Enumeration DateApril 17, 2013
Last NPPES UpdateJune 11, 2014
✔ NPI 1124462494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
256 N 2ND E, Rexburg, ID 83440
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D1065502

Upper Valley Ent & Allergy · Rexburg, ID
Active · expires Mar 1, 2027
CLIA Number13D1065502
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorBarry Peterson
Laboratory Phone(208) 656-9646
Laboratory LocationUpper Valley Ent & Allergy256 N 2nd E, Rexburg, ID 83440
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHRIS CHADWICK FUGATE CRNA
Nurse Anesthetist, Certified Registered
256 N 2ND E
REXBURG, ID 83440
Madison County (208) 656-9646
DR. BARRY JOHN PETERSON D.O.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
256 N 2ND E
REXBURG, ID 83440
Madison County (208) 656-9646
DAN LOREN WEBER PA-C
Physician Assistant
256 N 2ND E
REXBURG, ID 83440
Madison County (208) 656-9646
DR. JAY ROBERT MCMASTER DO
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
256 N 2ND E
REXBURG, ID 83440
Madison County (208) 656-9646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Upper Valley Ent & Allergy PLLC's NPI number?

The NPI number for Upper Valley Ent & Allergy PLLC is 1124462494. It was assigned to this organization in the NPPES registry on April 17, 2013.

Where is Upper Valley Ent & Allergy PLLC located?

Upper Valley Ent & Allergy PLLC is located at 256 N 2nd E, Rexburg, ID 83440. The listed phone number is (208) 656-9646.

What is Upper Valley Ent & Allergy PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Does Upper Valley Ent & Allergy PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D1065502) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Upper Valley Ent & Allergy PLLC accept?

Health plans from University of Utah Health Plans list Upper Valley Ent & Allergy PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Upper Valley Ent & Allergy PLLC was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.