Organization Active NPI

Wood County Family Care Inc.

  • Adolescent Medicine (Family Medicine) Physician
  • Bowling Green, OH
National Provider Identifier
1609935030
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
Legal business name
WOOD COUNTY FAMILY CARE INC.
Practice address
960 W Wooster St
Suite 202
Bowling Green, OH 43402-2644
Phone
(419) 353-3454
Fax
(419) 353-3808
NPI assigned
Dec 8, 2006
Last updated
Sep 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Amjad Farooq, M.D.NPI 1366447377
Title
Owner
Phone
(419) 353-3454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0000X OH Primary

Addresses

Primary practice location

960 W Wooster St
Suite 202
Bowling Green, OH 43402-2644

Mailing address

960 W Wooster St
Suite 202
Bowling Green, OH 43402-2644
Phone (419) 353-3454

Other identifiers 1

IdentifierTypeStateIssuer
2847512MedicaidOH

National Provider Directory

National Provider Directory

Locations

960 W Wooster St
Ste 202
Bowling Green, OH 43402
Phone (419) 353-1819

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1609935030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 W WOOSTER ST",
            "address_2": "SUITE 202",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022644",
            "telephone_number": "419-353-3454",
            "fax_number": "419-353-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W WOOSTER ST",
            "address_2": "SUITE 202",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022644",
            "telephone_number": "419-353-3454",
            "fax_number": "419-353-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD COUNTY FAMILY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "FAROOQ",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-353-3454",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2847512",
            "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 8, 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.