Active NPI
Head and Neck Associates of Bay County, Inc
- Otolaryngology Physician
- Panama City, FL
National Provider Identifier
1922120179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257724100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.