Pinewood Family Practice Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35049712 Issued in OH

Legal business name

PINEWOOD FAMILY PRACTICE INC

Practice address

960 W Wooster St
Suite 115
Bowling Green, OH 43402-2644

Phone

(419) 353-6262

Fax

(419) 353-6260

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Richard P Walsh, M.D.NPI 1043214828

Title

Owner

Phone

(419) 353-6262

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Richard Peter Walsh, MD

  • Family Medicine Physician
  • Bowling Green, OH
  • NPI 1043214828
  Authorized official Same address or phone

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1336279769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 W WOOSTER ST",
            "address_2": "SUITE 115",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022644",
            "telephone_number": "419-353-6262",
            "fax_number": "419-353-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W WOOSTER ST",
            "address_2": "SUITE 115",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022644",
            "telephone_number": "419-353-6262",
            "fax_number": "419-353-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEWOOD FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-353-6262",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35049712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0542416",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Phillips
• James Leland Phipps, DDS
• Phipps, Shevlin, Hebeka Family Dentistry, LTD (Phipps, Levin, & Hebeka)
• Anthony Pichacz
• Austin Pilkinton
• Rachel Plikerd
• Erica Jane Porter, LPCC
• Megan Elaine Porter, DO
• Jillian Powell, ED.S.
• Precision Pediatric Dental Bowling Green LLC (Bowling Green Pediatric Dental Group)

• 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 Sep 1, 2011; 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.