Individual provider Active NPI

Mark Ngu Awantang, M.D.

  • Orthopaedic Surgery Physician
  • Panama City, FL
National Provider Identifier
1285851907
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME112162 Issued in FL
Practice address
1827 Harrison Ave
Panama City, FL 32405-7605
Phone
(850) 522-4263
Fax
(850) 785-9681
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME112162 FL Primary
Orthopaedic Hand Surgery Physician 207XS0106X ME112162 FL

Addresses

Primary practice location

1827 Harrison Ave
Panama City, FL 32405-7605

Mailing address

1827 Harrison Ave
Panama City, FL 32405-7605
Phone (850) 522-4263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120417000121 FL Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 8426124496 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Wright State University Boonshoft School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

1034 Mar Walt Dr
Fort Walton Beach, FL 32547-6645
Phone (850) 344-1646

1827 Harrison Ave
Panama City, FL 32405-7605
Phone (850) 785-4344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME112162FLMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates, PA Orthopaedic Surgery CurrentSince Oct 20, 2021 Accepting new patients
Orthopaedic Associates PA Orthopaedic Surgery CurrentSince Oct 20, 2021 Accepting new patients
North Florida Surgeons, PA Orthopaedic Surgery CurrentSince May 19, 2024 Accepting new patients
North Florida Surgeons, PA CurrentSince May 19, 2024 Accepting new patients

Locations

36468 Emerald Coast Pkwy
Ste 1101
Destin, FL 32541
Phone (850) 290-2154

36474C Emerald Coast Pkwy
Ste 3101
Destin, FL 32541
Phone (850) 344-1646

1340 S 18th St
Ste 104
Fernandina Beach, FL 32034
Phone (904) 277-3277

1034 Mar Walt Dr
Unit 100
Ft Walton Bch, FL 32547
Phone (850) 315-9210

1034 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 344-1646

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

1827 Harrison Ave
Panama City, FL 32405
Phone (850) 785-4344

Interoperability endpoints

  • Direct secure messaging: mark.awantang.1@9109.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1285851907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057605",
            "telephone_number": "850-522-4263",
            "fax_number": "850-785-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057605",
            "telephone_number": "850-522-4263",
            "fax_number": "850-785-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWANTANG",
        "first_name": "MARK",
        "middle_name": "NGU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME112162",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME112162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.