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ADVANCED EAR NOSE & THROAT, P.C.
NPI 1245380005
Otolaryngology in Midwest City, OK

Active since January 11, 2007
1201 S DOUGLAS BLVD, SUITE L, MIDWEST CITY, OK 73130(314) 239-3527 Get Directions Write a Review

NPPES record last updated: April 27, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Ear Nose & Throat, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED EAR NOSE & THROAT, P.C. (NPI 1245380005) is a healthcare organization registered as an otolaryngology in Midwest City, Oklahoma and active in the NPI registry since January 2007. The organization lists Ronald Jeffrey Goodell, President, as its authorized official.

NPPES Registry Identity

NPI1245380005
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameADVANCED EAR NOSE & THROAT, P.C.
Location Address1201 S DOUGLAS BLVD, SUITE LMidwest City, OK 73130-5239
Mailing Address972 Sunburst CtBallwin, MO 63021-6937
Phone(314) 239-3527
Organization SubpartNo
Authorized OfficialRonald Jeffrey GoodellPresident · (314) 239-3527
Enumeration DateJanuary 11, 2007
Last NPPES UpdateApril 27, 2010
✔ NPI 1245380005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OK · 4473
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 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.
1201 S DOUGLAS BLVD, Midwest City, OK 73130
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Ear Nose & Throat, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Ear Nose & Throat, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ronald Goodell, D.O.
Otolaryngology
NPI 1720144827
1201 S DOUGLAS BLVD SUITE L
Midwest City, OK 73130
(314) 239-3527
✔ PECOS✔ Accepts MedicareSame address
Lara Smith, M.S.
Qualified Audiologist
NPI 1255472049
1621A MIDTOWN PL
Midwest City, OK 73130
(405) 736-9300
✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Ear Nose & Throat, P.C.'s NPI number?

The NPI number for Advanced Ear Nose & Throat, P.C. is 1245380005. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Advanced Ear Nose & Throat, P.C. located?

Advanced Ear Nose & Throat, P.C. is located at 1201 S Douglas Blvd Suite L, Midwest City, OK 73130. The listed phone number is (314) 239-3527.

What is Advanced Ear Nose & Throat, P.C.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Advanced Ear Nose & Throat, P.C. enrolled in Medicare?

Yes. Advanced Ear Nose & Throat, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Ear Nose & Throat, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Advanced Ear Nose & Throat, P.C., in Otolaryngology and Qualified Audiologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Ear Nose & Throat, P.C. was last updated on April 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.