OrganizationActive
Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.A.
NPI 1790797728 · Otolaryngology Physician · Tallahassee, FL
Provider details
- NPI number
- 1790797728
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Quackenbush, Administrator(850) 877-0101
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1405 Centerville Rd
Suite 5400
Tallahassee, FL 32308-4655
Phone: (850) 877-0101
Fax: (850) 877-2750
Street-level locationGet directions
Mailing address
1405 Centerville Road
Tallahassee, FL 32308-4629
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2011-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.