Mutaz a. Tabbaa, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME48669 Issued in FL

Legal business name

MUTAZ A. TABBAA, M.D., P.A.

Doing business as

Bay Neurological Institute

Practice address

2559 Huntcliff LN
Panama City, FL 32405-4902

Phone

(850) 763-0333

Fax

(850) 763-1477

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mutaz A. Tabbaa, M.D.NPI 1912198573

Title

President

Phone

(850) 763-0333

Specialties & licenses 1

Addresses

Other names 1

• Bay Neurological Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mutaz A Tabbaa, M.D.

  • Specialist
  • Panama City, FL
  • NPI 1912198573
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1205844396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 HUNTCLIFF LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054902",
            "telephone_number": "850-763-0333",
            "fax_number": "850-763-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 HUNTCLIFF LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054902",
            "telephone_number": "850-763-0333",
            "fax_number": "850-763-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUTAZ A. TABBAA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "TABBAA",
        "authorized_official_first_name": "MUTAZ",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-763-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME48669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Neurological Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Paul Murphy
• Michael D Murray, D.D.S.
• Millicent McCaskill Murray, LMHC, MS/ED.S
• Carrie D Musselwhite, MSW, RCSWI
• Mustafa a Hammad MD PA
• Courtney Mutti, APRN
• Patricia Kagendo Mutunga
• Catherine Marie Myers, LMHC, LMFT
• Christina Grace Myers
• Laura Myers

• Specialist in Panama City, FL
• Providers in Panama City, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.