Provider Demographics
NPI:1083233043
Name:LINSCOTT, ETHAN HIGHT (DO)
Entity type:Individual
Prefix:DR
First Name:ETHAN
Middle Name:HIGHT
Last Name:LINSCOTT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1304
Mailing Address - Street 2:
Mailing Address - City:ATOKA
Mailing Address - State:OK
Mailing Address - Zip Code:74525-6304
Mailing Address - Country:US
Mailing Address - Phone:580-364-3646
Mailing Address - Fax:
Practice Address - Street 1:367 W CLIFF DR
Practice Address - Street 2:
Practice Address - City:ATOKA
Practice Address - State:OK
Practice Address - Zip Code:74525-1404
Practice Address - Country:US
Practice Address - Phone:580-364-3646
Practice Address - Fax:580-297-7832
Is Sole Proprietor?:No
Enumeration Date:2020-04-10
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7377207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine