Bowling Green Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BOWLING GREEN CLINIC, INC.

Practice address

1039 Haskins Rd
Bowling Green, OH 43402-9065

Phone

(419) 352-1121

Fax

(419) 352-1179

NPI assigned

Nov 17, 2006

Last updated

Jan 9, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

WOOD HEALTH COMPANY, LLCAs reported in NPPES

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

Authorized official

Name

Mohammad Sidiq, M.D.NPI 1740284413

Title

President

Phone

(419) 352-1121

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Wood Health Company LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wood Health Company LLC

  • Family Medicine Physician
  • Bowling Green, OH
  • NPI 1598776916
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammad Sidiq, M.D.

  • Internal Medicine Physician
  • Bowling Green, OH
  • NPI 1740284413
  Authorized official Same address or phone

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1053485607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 HASKINS RD STE B",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021600",
            "telephone_number": "419-353-7018",
            "fax_number": "419-353-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 HASKINS RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029065",
            "telephone_number": "419-352-1121",
            "fax_number": "419-352-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWLING GREEN CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOOD HEALTH COMPANY, LLC",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "SIDIQ",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-352-1121",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2344529",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Bostdorff
• Michaela Mabel Boston
• Dana Boudrie
• Ashleigh Lynne Bower, CCC-SLP
• Bowling Green City School District
• Bowling Green Family Physicians. Inc.
• Bowling Green Foot and Ankle Physicians Inc
• Bowling Green Orthopaedics Inc.
• Bowling Green Pediatric Dental Group Inc
• Bowling Green State University

• Family Medicine Physician in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.