Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Ear Nose & Throat, PC

Organization Otolaryngology Physician · NPI 1245380005

Advanced Ear Nose & Throat, PC is an Otolaryngology Physician in Midwest City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1201 S Douglas Blvd Ste L
Midwest City, OK 73130-5239
Phone: (314) 239-3527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 4473 (OK)

Record details

NPI number1245380005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Goodell — President · (314) 239-3527
NPI enumeratedJanuary 11, 2007
Last updated in NPPESApril 27, 2010
Mailing address972 Sunburst Ct, Ballwin, MO 63021-6937

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