Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.A.
NPI 1790797728ActiveOrganization· Otolaryngology· Tallahassee, FL
Otolaryngology in Tallahassee, Florida, registered in NPPES in August 2006. The authorized official on file is Kim P. Quackenbush, C.R.M., Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790797728 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 11, 2006 |
| Last updated in NPPES | Aug 12, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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