OrganizationActive
Advanced Ear Nose & Throat, P.C.
NPI 1245380005 · Otolaryngology Physician · Midwest City, OK
Provider details
- NPI number
- 1245380005
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ronald Goodell, President(314) 239-3527
- License
- 4473 (OK)
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
1201 S Douglas Blvd
Suite L
Midwest City, OK 73130-5239
Phone: (314) 239-3527
Street-level locationGet directions
Mailing address
972 Sunburst Ct
Ballwin, MO 63021-6937
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2010-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.