Active NPI
Robert Ethel, M.D., MBS
- Anesthesiology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 33138
- Practice address
- 13321 N Meridian Ave Ste 402
Oklahoma City, OK 73120-8316 - Phone
- (405) 808-9669
- NPI assigned
- Apr 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 30327 | MS | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 33138 | OK | Primary |
Addresses
Primary practice location
13321 N Meridian Ave Ste 402
Oklahoma City, OK 73120-8316
Mailing address
13321 N Meridian Ave Ste 402
Oklahoma City, OK 73120-8316
Phone (405) 808-9669
Other practice location 1
301 Fisher St
Biloxi, MS 39534-2508
Phone (228) 376-6018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1705 S Renaissance Blvd
Suite 120
Edmond, OK 73013-3043
Phone (405) 715-4496
4300 W Memorial Rd
Mercy Health Center Inc
Oklahoma City, OK 73120-8304
Phone (405) 755-1515
9800 Broadway Ext
Suite 204
Oklahoma City, OK 73114-6303
Phone (405) 419-5926
Hospital & facility affiliations
- Community Hospital, LLC
- Mercy Hospital Oklahoma City, Inc
- Northwest Surgical Hospital
- Oklahoma Spine Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30327 | MS | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Anesthesiologists, LLC | Anesthesiology | Current | Accepting new patients |
| Hpi Physicians LLC | Current | Accepting new patients |
Locations
1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4317 W Memorial Rd
Oklahoma City, OK 73134
Phone (405) 755-6240
13321 N Meridian Ave
Ste 402
Oklahoma City, OK 73120
Phone (405) 755-1080
Dept 960431
Oklahoma City, OK 73196
Interoperability endpoints
- rethel91384@direct.phhs.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1710214267
-
- General Practice Physician
- Edmond, OK
- NPI 1205152600
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1275593337
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1699745893
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1942260971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1235592452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13321 N MERIDIAN AVE STE 402",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208316",
"telephone_number": "405-808-9669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13321 N MERIDIAN AVE STE 402",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208316",
"telephone_number": "405-808-9669"
}
],
"practiceLocations": [
{
"address_1": "301 Fisher St",
"address_purpose": "LOCATION",
"city": "Biloxi",
"state": "MS",
"postal_code": "395342508",
"country_code": "US",
"telephone_number": "228-376-6018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ETHEL",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D., MBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-04",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MS",
"license": "30327",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "33138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.