Bgsu Speech and Hearing Clinic

Primary specialty

AudiologistTaxonomy code 231H00000X

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

NPI assigned

Apr 6, 2007

Organization subpart

No

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 1

Addresses

Other identifiers 1

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.

• Bgsu Speech and Hearing Clinic

  • Speech-Language Pathologist
  • Bowling Green, OH
  • NPI 1316094022
  NPD tax ID
• Bowling Green State University

  • Clinical Psychologist
  • Bowling Green, OH
  • NPI 1083921787
  NPD tax ID

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821110008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HEALTH CTR",
            "address_2": "BOWLING GREEN STATE UNIVERSITY",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434030149"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BGSU SPEECH AND HEARING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0576523",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley K Bennett
• Christopher Bergman
• Marion W Bernard, LPCC-S
• Haylee Rose Betz, RDA
• Bgsu Speech and Hearing Clinic
• Michael John Bielefeld, MD
• Jeffrey Bischoff
• Susan Ann Bischoff, LISW
• John Walton Black
• Stephanie E Black, ATC

• Audiologist in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Audiologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.