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BOWLING GREEN ORTHOPAEDICS INC. NPI 1386735371


NPI Information

NPI: 1386735371
Provider Name: BOWLING GREEN ORTHOPAEDICS INC.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 36D0959972

Address:
1215 RIDGEWOOD DR STE A
BOWLING GREEN, OH
ZIP 43402
Phone: (419) 352-1519
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BOWLING GREEN ORTHOPAEDICS INC. is an orthopaedic surgery in Bowling Green, OH. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. BOWLING GREEN ORTHOPAEDICS INC. NPI is 1386735371. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1215 RIDGEWOOD DR STE A
BOWLING GREEN, OH
ZIP 43402-694
Phone: (419) 352-1519
Fax: (419) 352-7004

The provider's authorized official is Merrill Gladden .
The authorized official title is President and has the following contact phone number (419) 352-1519.

The CLIA number assigned to this NPI record is 36D0959972 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/27/2006 and was last updated on 4/25/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
2207XX0005XOrthopaedic SurgerySports MedicineNo
3207XS0106XOrthopaedic SurgeryHand SurgeryNo
4207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110677OTHEROHIOCHAMPUS GROUP ID#
20495012MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.