MID AMERICAN SPORTS THERAPY AND REHABILITATION LLC (NPI# 1427004837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427004837 |
| Entity Type | Organization |
| Organization Name | MID AMERICAN SPORTS THERAPY AND REHABILITATION LLC |
| Practice Address |
1039 Haskins Rd Suite L Bowling Green OH 43402-9065 |
| Mailing Address |
Po Box 239 Findlay OH 45839-0239 |
| Practice Telephone | 4193538000 |
| Practice Fax Number | 4193538001 |
| Mailing Telephone | 4194225526 |
| Mailing Fax Number | 4194225562 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | KEVIN REITER (ADMINISTRATOR) |
| Authorized Official Telephone | 4194225526 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2527108 | 05 | |
| OH | 2557424 | 05 | |
| OH | ANTHEM BCBS | 339234 | 01 |
| Street Address |
1039 HASKINS RD SUITE L |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43402-9065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668354 | Josefina P Garcia | Obstetrics & Gynecology | 1039 Haskins Rd, Bowling Green, OH 43402-9065 | 2005-06-09 |
| 1669726584 | Chasady L Freeze | Clinical Nurse Specialist | 1039 Haskins Rd, Suite A, Bowling Green, OH 43402-9065 | 2012-10-30 |
| 1992093728 | Michelle Lynn Drain | Nurse Practitioner | 1039 Haskins Rd, Suite A, Bowling Green, OH 43402-9065 | 2011-07-14 |
| 1083809461 | Kelly Woodman | Occupational Therapist | 1039 Haskins Rd, Suite L, Bowling Green, OH 43402-9065 | 2007-09-10 |
| 1548311251 | Rene S Ramos | Physician Assistant | 1039 Haskins Rd, Bowling Green, OH 43402-9065 | 2007-01-16 |
| 1649348087 | Chris C Park | Internal Medicine | 1039 Haskins Rd, Suite A, Bowling Green, OH 43402-9065 | 2006-12-02 |
| 1053485607 | Bowling Green Clinic, Inc. | Family Medicine | 1039 Haskins Rd, Bowling Green, OH 43402-9065 | 2006-11-17 |
| 1649355199 | The Opti-health Group | Durable Medical Equipment & Medical Supplies | 1039 Haskins Rd, Suite L, Bowling Green, OH 43402-9065 | 2006-10-25 |
| 1578586095 | Edward Joseph Wojciechowski | Family Medicine | 1039 Haskins Rd, Suite A, Bowling Green, OH 43402-9065 | 2006-07-25 |
| 1184602377 | Nazia Yasmin Sidiq | Family Medicine | 1039 Haskins Rd, Suite A, Bowling Green, OH 43402-9065 | 2006-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1477065274 | Elizabeth Marie Leber | Social Worker | 1045 Klotz Rd., Bowling Green, OH 43402 | 2017-11-02 |
| 1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
| 1093224933 | Kevin Wagner | Contractor | 19644 Hull Prairie Rd, Bowling Green, OH 43402 | 2017-09-22 |
| 1487102273 | Mary Ann Bostdorff | Registered Nurse | 1011 North Prospect St., Bowling Green, OH 43402 | 2016-09-21 |
| 1174927354 | Kristy Siegle | Counselor | 1010 North Prospect, Bowling Green, OH 43402 | 2014-10-16 |
| 1366846560 | Timothy M Burkart | Pharmacist | 1840 E. Gypsy Lane Rd, (wood County Health Department), Bowling Green, OH 43402 | 2014-10-16 |
| 1144629411 | Ledeithra Denise Mckinney | Speech-Language Pathologist | 1921 East Gypsy Lane Rd., Bowling Green, OH 43402 | 2014-08-22 |
| 1558701607 | Mark Joseph Kleeberger | Physical Therapy Assistant | 1180 N Main St, Bowling Green, OH 43402 | 2013-07-02 |
| Find all providers in zip 43402 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1023423357 | Commonwealth Surgical Services, LLC | Specialist | 1945 Scottsville Rd B2 Pmb137, Bowling Green, KY 42104-3376 | 2014-06-25 |
| 1013226679 | Brandy Leticia Adams | Specialist | 349 Brighton Ave, Bowling Green, KY 42101-9087 | 2010-09-30 |
| 1164666194 | Lauren Michelle Daniels | Specialist | 237 Red Elm Ln, Bowling Green, KY 42101-7531 | 2009-04-21 |
| 1164620316 | Tfc Physical Therapy, Pllc | Specialist | 542 Three Springs Rd, Bowling Green, KY 42104-7589 | 2007-07-10 |
| 1972700342 | William A. Schwank, M.d. | Specialist | 1890 Lyda Ave Ste 101, Bowling Green, KY 42104-5829 | 2007-06-29 |
| 1467653162 | Susan Diane Devine | Specialist | 812 Wrenwood Dr, Bowling Green, KY 42103-1582 | 2007-05-30 |
| 1730219429 | Lisa Renee Murphy | Specialist | 104 E. 14th St., Bowling Green, KY 42101 | 2007-03-06 |
| 1770626731 | Cherylan J. Franke | Specialist | 1013 Shive Ln, # 64, Bowling Green, KY 42103-8003 | 2007-02-15 |
| 1467556845 | James T. Bergin, Md Psc | Specialist | 720 Second St, Ste 201, Bowling Green, KY 42101-1778 | 2006-09-07 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 43402 |
Please comment or provide details below to improve the information on MID AMERICAN SPORTS THERAPY AND REHABILITATION LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.