NPIMap

Organization Active NPI

Northwest Ohio Orthopedics and Sports Medicine Inc

  • Durable Medical Equipment & Medical Supplies
  • Bowling Green, OH
National Provider Identifier
1033569728
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
32-900011 Issued in OH
Legal business name
NORTHWEST OHIO ORTHOPEDICS AND SPORTS MEDICINE INC
Practice address
1069 Klotz Rd
Suite a
Bowling Green, OH 43402-4828
Phone
(419) 728-0110
Fax
(419) 728-0113
NPI assigned
Jun 14, 2016
Organization subpart
Yes
Parent organization
NORTHWEST OHIO ORTHOPEDICS & SPORTS MEDICINE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Matt Boehm
Title
Cfo
Phone
(419) 427-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 32-900011 OH Primary

Addresses

Primary practice location

1069 Klotz Rd
Suite a
Bowling Green, OH 43402-4828

Mailing address

7595 County Road 236
Findlay, OH 45840-8738
Phone (419) 427-1984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160713000616 OH DME Supplier - Physician - General PracticeDME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 4082528484 Practice locations: Bowling Green, OH

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Northwest Ohio Orthopedics9 organizations share this tax ID, including this one
Part of
Northwest Ohio Orthopedics

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1033569728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 COUNTY ROAD 236",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458408738",
            "telephone_number": "419-427-1984",
            "fax_number": "419-427-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 KLOTZ RD",
            "address_2": "SUITE A",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024828",
            "telephone_number": "419-728-0110",
            "fax_number": "419-728-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST OHIO ORTHOPEDICS AND SPORTS MEDICINE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST OHIO ORTHOPEDICS & SPORTS MEDICINE INC",
        "enumeration_date": "2016-06-14",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "419-427-3101"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "32-900011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.