Organization Active NPI

Head and Neck Associates of Bay County, Inc

  • Otolaryngology Physician
  • Panama City, FL
National Provider Identifier
1922120179
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
HEAD AND NECK ASSOCIATES OF BAY COUNTY, INC
Practice address
724 W 19TH St
Panama City, FL 32405-4101
Phone
(850) 769-0336
Fax
(850) 769-6202
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Dr. Quang T Tran, M.D.
Title
President
Phone
(850) 769-0278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

724 W 19TH St
Panama City, FL 32405-4101

Mailing address

724 W 19TH St
Panama City, FL 32405-4101
Phone (850) 769-0336

Other practice location 1

6757 US Highway 98 W Ste 302
Santa Rosa Beach, FL 32459-4780
Phone (850) 769-0278

Other identifiers 1

IdentifierTypeStateIssuer
257724100MedicaidFL

National Provider Directory

National Provider Directory

Locations

724 W 19th St
Panama City, FL 32405
Phone (850) 769-0278

724 W 19th St
#2
Panama City, FL 32405

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1922120179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 W 19TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054101",
            "telephone_number": "850-769-0336",
            "fax_number": "850-769-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 W 19TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054101",
            "telephone_number": "850-769-0336",
            "fax_number": "850-769-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6757 US Highway 98 W Ste 302",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "postal_code": "324594780",
            "country_code": "US",
            "telephone_number": "850-769-0278",
            "fax_number": "850-769-6202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEAD AND NECK ASSOCIATES OF BAY COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "QUANG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-769-0278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257724100",
            "state": "FL"
        }
    ],
    "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, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.