TALLAHASSEE EAR, NOSE & THROAT-HEAD & NECK SURGERY, P.A.
NPI 1790797728
Otolaryngology in Tallahassee, FL

NPI Status: Active since August 11, 2006

Contact Information

1405 CENTERVILLE RD
SUITE 5400
TALLAHASSEE, FL
ZIP 32308
Phone: (850) 877-0101
Fax: (850) 877-2750

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  • Organization
  • Otolaryngology
  • Accepts Insurance

About TALLAHASSEE EAR, NOSE & THROAT-HEAD & NECK SURGERY, P.A.

This page provides the complete NPI Profile along with additional information for Tallahassee Ear, Nose & Throat-head & Neck Surgery, P.a., a provider established in Tallahassee, Florida operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1790797728 assigned on August 2006. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Kim P. Quackenbush C.r.m. (Administrator)

NPI
1790797728
Provider Name
TALLAHASSEE EAR, NOSE & THROAT-HEAD & NECK SURGERY, P.A.
Entity Type
Organization
Location Address
1405 CENTERVILLE RD SUITE 5400 TALLAHASSEE, FL 32308
Location Phone
(850) 877-0101
Location Fax
(850) 877-2750
Mailing Address
1405 CENTERVILLE ROAD SUITE 5400 TALLAHASSEE, FL 32308
Mailing Phone
(850) 877-0101
Mailing Fax
(850) 877-2750
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-11-2006
Last Update Date
08-12-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Capital Health Plan HMO Bronze 1000 - HMO
  • Capital Health Plan HMO Gold 3000 - HMO
  • Capital Health Plan HMO Gold 3100 - HMO
  • Capital Health Plan HMO Platinum 4000 - HMO
  • Capital Health Plan HMO Silver 2100 - HMO
  • Capital Health Plan HMO Silver 2300 - HMO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • myBlue Bronze 1601 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $45 / Rewards) - HMO
  • myBlue Bronze 2013 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $30 / Rewards) - HMO
  • myBlue Bronze 2129 ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Rewards) - HMO
  • myBlue Bronze 2129E ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards) - HMO
  • myBlue Bronze 2129V ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards) - HMO
  • myBlue Bronze 2149 ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Rewards) - HMO
  • myBlue Bronze 2149E ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards) - HMO
  • myBlue Bronze 2149V ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards) - HMO
  • myBlue Bronze 2219 ($0 Virtual PCP Visits / Rewards) - HMO
  • myBlue Bronze 2286 ($0 Virtual PCP Visits / Rewards) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. KIM P. QUACKENBUSH C.R.M.

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(850) 877-0101

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
33294MEDICARE ID-TYPE UNSPECIFIED (04)FLGROUP PROVIDER NUMBER
33294OTHER (01)FLBCBS GROUP PROVIDER NUMBE
054317900MEDICAID (05)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790797728
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801491474
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 4 + 9 + 1 + 4 + 7 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1790797728 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306820196MRS. TERESA L TULLOS ARNP-C
Individual
Registered Nurse1405 CENTERVILLE RD STE 4200
TALLAHASSEE, FL 32308
(850) 877-3549
1033170493 CAROL MCNUTT C.N.M.
Individual
Nurse Practitioner1405 CENTERVILLE RD SUITE 4200
TALLAHASSEE, FL 32308
(850) 877-3549
1427019892 SHANNON STORM C.N.M., A.R.N.P.
Individual
Nurse Practitioner1405 CENTERVILLE RD SUITE 4200
TALLAHASSEE, FL 32308
(850) 877-3549
1235141276DR. DUNCAN SYBREN POSTMA M.D.
Individual
Otolaryngology1405 CENTERVILLE RD SUITE 5400
TALLAHASSEE, FL 32308
(850) 877-0101
1891707857DR. SPENCER ELWOOD GILLEON M.D.
Individual
Otolaryngology1405 CENTERVILLE RD SUITE 5400
TALLAHASSEE, FL 32308
(850) 877-0101
1447262415DR. ADRIAN PRENTICE ROBERTS M.D.
Individual
Otolaryngology1405 CENTERVILLE RD SUITE 5400
TALLAHASSEE, FL 32308
(850) 877-0101
1245242239DR. MARIE OWINGS BECKER M.D.
Individual
Otolaryngology1405 CENTERVILLE RD SUITE 5400
TALLAHASSEE, FL 32308
(850) 877-0101
1053323063DR. JOSEPH CARLYLE SOTO M.D.
Individual
Otolaryngology1405 CENTERVILLE RD SUITE 5400
TALLAHASSEE, FL 32308
(850) 877-0101
1679585699MRS. PATRICIA ELLEN SKINNER A.R.N.P.
Individual
Nurse Practitioner1405 CENTERVILLE RD SUITE 5400
TALLAHASSEE, FL 32308
(850) 877-0101
1245242247DR. ROBERT MASON SNIDER M.D.
Individual
Otolaryngology1405 CENTERVILLE RD SUITE 5400
TALLAHASSEE, FL 32308
(850) 877-0101
1548371404MRS. MARY SUSAN THORNTON AU.D
Individual
Audiologist1405 CENTERVILLE RD SUITE 5400
TALLAHASSEE, FL 32308
(850) 877-0101
1750492682MRS. SUSAN NOWLIN M.S.
Individual
Audiologist1405 CENTERVILLE RD SUITE 5400
TALLAHASSEE, FL 32308
(850) 877-0101
1811008733MRS. LISA A MYRICK AU.D
Individual
Audiologist1405 CENTERVILLE RD SUITE 5400
TALLAHASSEE, FL 32308
(850) 877-0101
1407967334MRS. ERIN LACKINGER M.ED.
Individual
Audiologist1405 CENTERVILLE RD SUITE 5400
TALLAHASSEE, FL 32308
(850) 877-0101
1518078492MISS HALLE LYONS VAN OSS AU.D.
Individual
Audiologist1405 CENTERVILLE RD SUITE 5400
TALLAHASSEE, FL 32308
(850) 877-0101
1972614840MISS AMANDA LAWRENCE M.S.
Individual
Audiologist1405 CENTERVILLE RD SUITE 5400
TALLAHASSEE, FL 32308
(850) 877-0101
1760731889MRS. JUNE RENEE LYLE SURGICAL TECH (NCCT)
Individual
Specialist/Technologist, Other (Surgical Assistant)1405 CENTERVILLE RD SUITE 4200
TALLAHASSEE, FL 32308
(850) 877-3549
1982703476TALLAHASSEE SURGICAL ASSOCIATES PA
Organization
Surgery1405 CENTERVILLE RD SUITE 4400
TALLAHASSEE, FL 32308
(850) 877-6212
1992750038 DAVID WIDLUND BROWN P.A.
Individual
Physician Assistant (Surgical)1405 CENTERVILLE RD SUITE 5000
TALLAHASSEE, FL 32308
(850) 877-7886
1467554618 JEFFREY WYATT CROOMS MD
Individual
Surgery1405 CENTERVILLE RD SUITE 4400
TALLAHASSEE, FL 32308
(850) 877-6212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790797728, enumerated in the NPI registry as an "organization" on August 11, 2006

The provider is located at 1405 Centerville Rd Suite 5400 Tallahassee, Fl 32308 and the phone number is (850) 877-0101

This medical organization specializes in Otolaryngology with taxonomy code 207Y00000X

The provider might be accepting Accepts: Aetna CVS Health, Capital Health Plan, Florida. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.