Organization Active NPI

Wood County Womens Care of Bowling Green, LLC

  • Obstetrics & Gynecology Physician
  • Bowling Green, OH
National Provider Identifier
1962419978
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOOD COUNTY WOMENS CARE OF BOWLING GREEN, LLC
Practice address
1214 Ridgewood Dr
Bowling Green, OH 43402-2664
Phone
(419) 352-8427
Fax
(419) 352-2120
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Mr. Stanley R. Korducki
Title
President
Phone
(419) 373-7607

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1214 Ridgewood Dr
Bowling Green, OH 43402-2664

Mailing address

745 Haskins Rd Ste B
Bowling Green, OH 43402-1600
Phone (419) 373-7607

Other practice location 1

3150 Bostwick Rd
Perrysburg, OH 43551-7267
Phone (419) 872-3208

Other identifiers 1

IdentifierTypeStateIssuer
2344172MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040512001537 OH Part B Supplier - Clinic/Group Practice 0648260729 Receives reassigned benefits from 7 practitioners
Practice locations: Bowling Green, OH

National Provider Directory

National Provider Directory

Locations

745 Haskins Rd
Bowling Green, OH 43402

L4285
Columbus, OH 43260

3150 Bostwick Rd
Perrysburg, OH 43551
Phone (419) 354-8900

28442 E River Rd
Perrysburg, OH 43551
Phone (419) 872-3201

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1962419978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 HASKINS RD STE B",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021600",
            "telephone_number": "419-373-7607",
            "fax_number": "419-353-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 RIDGEWOOD DR",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022664",
            "telephone_number": "419-352-8427",
            "fax_number": "419-352-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 Bostwick Rd",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435517267",
            "country_code": "US",
            "telephone_number": "419-872-3208",
            "fax_number": "419-872-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOOD COUNTY WOMENS CARE OF BOWLING GREEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "KORDUCKI",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-373-7607",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2344172",
            "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 Apr 9, 2026; 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.