Organization Active NPI

Bgsu Speech and Hearing Clinic

  • Speech-Language Pathologist
  • Bowling Green, OH
National Provider Identifier
1316094022
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BGSU SPEECH AND HEARING CLINIC
Practice address
200 Health Ctr
Bowling Green State University
Bowling Green, OH 43403-0149
Phone
(419) 372-2515
Fax
(419) 372-8089
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Larry H Small, PH.D.
Title
Associate Professor and Chair
Phone
(419) 372-2515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X OH
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X OH Primary

Addresses

Primary practice location

200 Health Ctr
Bowling Green State University
Bowling Green, OH 43403-0149

Mailing address

200 Health Ctr
Bgsu Speech and Hearing Clinic
Bowling Green, OH 43403-0149
Phone (419) 372-2515

Other identifiers 1

IdentifierTypeStateIssuer
0888562MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Bgsu Speech and Hearing Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1316094022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HEALTH CTR",
            "address_2": "BGSU SPEECH AND HEARING CLINIC",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434030149",
            "telephone_number": "419-372-2515",
            "fax_number": "419-372-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH CTR",
            "address_2": "BOWLING GREEN STATE UNIVERSITY",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434030149",
            "telephone_number": "419-372-2515",
            "fax_number": "419-372-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BGSU SPEECH AND HEARING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ASSOCIATE PROFESSOR AND CHAIR",
        "authorized_official_telephone_number": "419-372-2515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0888562",
            "state": "OH"
        }
    ],
    "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 Sep 11, 2025; 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.