Advanced Ear Nose & Throat, P.C. in Midwest City - Otolaryngology
Advanced Ear Nose & Throat, P.C. - NPI 1245380005
Advanced Ear Nose & Throat, P.C. is a Otolaryngology in Midwest City, Oklahoma. Advanced Ear Nose & Throat, P.C. practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Advanced Ear Nose & Throat, P.C. is 1245380005. The last update date is 2010-04-27.
Advanced Ear Nose & Throat, P.C.'s current location address is 1201 S Douglas Blvd, Midwest City, Oklahoma. You can contact this provider via phone number 3142393527. The mailing address for Advanced Ear Nose & Throat, P.C. is 1201 S Douglas Blvd, Midwest City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Ear Nose & Throat, P.C. |
|---|---|
| Address | 1201 S Douglas Blvd, Midwest City, Oklahoma |
| Phone Number | 3142393527 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Goodell Jeffrey Ronald |
| Credentials | D.O. |
| Telephone Number | 3142393527 |
NPI Number Detail
| NPI Number | 1245380005 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2010-04-27 |
Provider Mailing Address Detail
| Address | 1201 S Douglas Blvd |
|---|---|
| City | Midwest City |
| State | Oklahoma (OK) |
| Post Code | 731305239 |
| Phone Number | 3142393527 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 4473 |
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Definition: 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 an |
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What is the unique identification code assigned to Advanced Ear Nose & Throat, P.C. by the Centers for Medicare & Medicaid Services?
The Advanced Ear Nose & Throat, P.C. has been issued the NPI (National Provider Identifier) 1245380005. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Advanced Ear Nose & Throat, P.C.?
The Advanced Ear Nose & Throat, P.C. is physically situated at 1201 S Douglas Blvd, in the city of Midwest City, state of OK, with the postal code 731305239.
What is Advanced Ear Nose & Throat, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Advanced Ear Nose & Throat, P.C.'s specialized field of practice is Otolaryngology, and the corresponding taxonomy code that categorizes this area of specialization is 207Y00000X.
On what date did the Advanced Ear Nose & Throat, P.C. receive its 1245380005 assignment from the Centers for Medicare & Medicaid Services?
The Advanced Ear Nose & Throat, P.C. was assigned its 1245380005 by the Centers for Medicare & Medicaid Services on 2007-01-11.
When was the information related to Advanced Ear Nose & Throat, P.C. most recently updated or refreshed?
The details pertaining to the Advanced Ear Nose & Throat, P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2010-04-27.