Active NPI
Mark Ngu Awantang, M.D.
- Orthopaedic Surgery Physician
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME112162
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Wright State University Boonshoft School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Enhabit Home Health
- HCA Florida Gulf Coast Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 64.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.88
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME112162 | FL | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates, PA | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedic Associates PA | Orthopaedic Surgery | Current | Accepting new patients |
| North Florida Surgeons, PA | Orthopaedic Surgery | Current | Accepting new patients |
| North Florida Surgeons, PA | Current | 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
- 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.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Orthopaedic Surgery Physician
- Panama City, FL
- NPI 1407892938
-
- Orthopaedic Surgery Physician
- Fort Walton Beach, FL
- NPI 1467589010
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
- Orthopaedic Surgery Physician
- Panama City, FL
- NPI 1255001350
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
- Home Health Agency
- Panama City, FL
- NPI 1518916659
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.