NPIMap

Individual provider Active NPI

Ronald Jeffrey Goodell, D.O.

  • Otolaryngology Physician
  • Midwest City, OK
National Provider Identifier
1720144827
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4473 Issued in OK
Practice address
1201 S Douglas Blvd
Suite L
Midwest City, OK 73130-5239
Phone
(314) 239-3527
NPI assigned
Dec 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4473 OK Primary

Addresses

Primary practice location

1201 S Douglas Blvd
Suite L
Midwest City, OK 73130-5239

Mailing address

1201 S Douglas Blvd
Suite L
Midwest City, OK 73130-5239
Phone (405) 736-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070611000151 OK Practitioner - OtolaryngologyPractitioner - Allergy/ImmunologyPractitioner - Plastic and Reconstructive Surgery 1658479928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology, Plastic and Reconstructive Surgery
Education
Oklahoma State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

1621 A Midtown PL
Midwest City, OK 73130-6348
Phone (405) 736-9300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
80.43
Promoting interoperability
100
Improvement activities
40
Cost
72.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Sep 1, 2024 Accepting new patients
Saints Medical Group, LLC CurrentSince Sep 1, 2024 Accepting new patients
Advanced Ear Nose & Throat, P.C. Otolaryngology CurrentSince Jun 11, 2007 Accepting new patients
SSM Health Care of Oklahoma, Inc Past Accepting new patients
ENT Associates PLLC PastSince Jan 19, 2011 Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1201 S Douglas Blvd
Ste L
Oklahoma City, OK 73130
Phone (314) 239-3527

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

1621A Midtown Pl
Oklahoma City, OK 73130
Phone (405) 736-9300

Interoperability endpoints

  • Direct secure messaging: jgoodell@yourcarecommunity.org
  • Direct secure messaging: rgoodell399956@direct-ehr-ssmhc.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720144827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S DOUGLAS BLVD",
            "address_2": "SUITE L",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305239",
            "telephone_number": "405-736-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S DOUGLAS BLVD",
            "address_2": "SUITE L",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305239",
            "telephone_number": "314-239-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODELL",
        "first_name": "RONALD",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "4473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.