Oklahoma City Ear, Nose & Throat Clinic, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4165 Issued in OK

Legal business name

OKLAHOMA CITY EAR, NOSE & THROAT CLINIC, PC

Doing business as

Oklahoma City Ear, Nose & Throat Clinic

Practice address

535 NW 9TH Street
Suite 300
Oklahoma City, OK 73102

Phone

(405) 272-6027

Fax

(405) 272-8311

NPI assigned

Jul 27, 2006

Last updated

Aug 29, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larry Brent Scott, DONPI 1932148673

Title

President

Phone

(405) 272-6027

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Oklahoma City Ear, Nose & Throat Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry Brent Scott, D.O.

  • Otolaryngology Physician
  • Edmond, OK
  • NPI 1932148673
  NPD (past) Authorized official
• Keith Fredrick Clark, MD PHD

  • Otolaryngology Physician
  • Oklahoma City, OK
  • NPI 1376506642
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1023032612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 NW 9TH STREET",
            "address_2": "SUITE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73102",
            "telephone_number": "405-272-6027",
            "fax_number": "405-272-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 NW 9TH STREET",
            "address_2": "SUITE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73102",
            "telephone_number": "405-272-6027",
            "fax_number": "405-272-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA CITY EAR, NOSE & THROAT CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-272-6027",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "4165",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200032190A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200028810A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma City Ear, Nose & Throat Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.