Bowling Green Orthopaedics Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

BOWLING GREEN ORTHOPAEDICS INC.

Practice address

1215 Ridgewood Dr Ste a
Bowling Green, OH 43402-2694

Phone

(419) 352-1519

Fax

(419) 352-7004

NPI assigned

Sep 27, 2006

Last updated

Apr 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Merrill Gladden, MDNPI 1275528275

Title

President

Phone

(419) 352-1519

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• Direct secure messaging: mgladden@bgo.exscribedirect.com
• Direct secure messaging: sdeering@bgo.exscribedirect.com

Practitioners 5

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.

• Merrill Lee Gladden Jr., M.D.

  • Orthopaedic Surgery Physician
  • Bowling Green, OH
  • NPI 1275528275
  Medicare reassignment NPD Authorized official
• Scott John Deering, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Wauseon, OH
  • NPI 1245433036
  Medicare reassignment NPD
• Charles Russell Marlowe Jr., DPM

  • Podiatrist
  • Perrysburg, OH
  • NPI 1023011947
  NPD (past)
• Randy A Trimpey, M.D.

  • Family Medicine Physician
  • Bowling Green, OH
  • NPI 1588668255
  NPD (past)
• Jeffrey Mariano Laporte, M.D.

  • Orthopaedic Surgery Physician
  • Missoula, MT
  • NPI 1548255540
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1386735371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 RIDGEWOOD DR STE A",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022694",
            "telephone_number": "419-352-1519",
            "fax_number": "419-352-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 RIDGEWOOD DR STE A",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022694",
            "telephone_number": "419-352-1519",
            "fax_number": "419-352-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWLING GREEN ORTHOPAEDICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "GLADDEN",
        "authorized_official_first_name": "MERRILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-352-1519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0495012",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS GROUP ID#",
            "identifier": "10677",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Lynne Bower, CCC-SLP
• Bowling Green City School District
• Bowling Green Clinic, Inc.
• Bowling Green Family Physicians. Inc.
• Bowling Green Foot and Ankle Physicians Inc
• Bowling Green Pediatric Dental Group Inc
• Bowling Green State University
• Bowling Green State University
• Bowling Green State University (Student Health Service)
• Katherine Merie Bowman

• Orthopaedic Surgery Physician in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.