SURGICAL SPECIALISTS OF BOWLING GREEN LLC (NPI# 1649435835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649435835 |
| Entity Type | Organization |
| Organization Name | SURGICAL SPECIALISTS OF BOWLING GREEN LLC |
| Practice Address |
960 W Wooster St Suite 202 Bowling Green OH 43402-2644 |
| Mailing Address |
960 W Wooster St Ste 208 Bowling Green OH 43402-2650 |
| Practice Telephone | 4193529124 |
| Practice Fax Number | 4193537334 |
| Mailing Telephone | 4193529124 |
| Mailing Fax Number | 4193537334 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | DR. MICHAEL J BIELEFELD (PHYSICIAN/PARTNER) |
| Authorized Official Telephone | 4193529124 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35066329B | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2860980 | 05 | |
| OH | RR MEDICARE | DO3187 | 01 |
| Street Address |
960 W WOOSTER ST SUITE 202 |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43402-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760489173 | Thurai Y Kumaran | Internal Medicine | 960 W Wooster St, Suite 205, Bowling Green, OH 43402-2644 | 2005-06-30 |
| 1093254542 | Ginger Lee Caris | Dietitian, Registered | 960 W Wooster St, Bowling Green, OH 43402-2644 | 2017-02-16 |
| 1225326283 | Laurie Sue Meyer | Nurse Practitioner | 960 W Wooster St, Suite 116, Bowling Green, OH 43402-2644 | 2011-07-12 |
| 1851564579 | Jack A. Whittaker D.d.s., Inc. | Dentist | 960 W Wooster St, Suite 201, Bowling Green, OH 43402-2644 | 2008-04-03 |
| 1356563985 | Bethany Gries | Dietitian, Registered | 960 W Wooster St, Suite 116, Bowling Green, OH 43402-2644 | 2007-05-03 |
| 1336279769 | Pinewood Family Practice Inc | Family Medicine | 960 W Wooster St, Suite 115, Bowling Green, OH 43402-2644 | 2007-03-06 |
| 1407908486 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 960 W Wooster St, Suite 111, Bowling Green, OH 43402-2644 | 2007-01-18 |
| 1609935030 | Wood County Family Care Inc. | Family Medicine | 960 W Wooster St, Suite 202, Bowling Green, OH 43402-2644 | 2006-12-08 |
| 1639238629 | K Mahmood M D Inc | Psychiatry & Neurology | 960 W Wooster St, Suite 202, Bowling Green, OH 43402-2644 | 2006-12-06 |
| 1013083260 | Rogelio A. Sanchez, Md, Co, PC | Family Medicine | 960 W Wooster St, 106, Bowling Green, OH 43402-2644 | 2006-11-28 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477819811 | Sara Catherine Soule | Surgery | 825 2nd Ave Ste B6, Bowling Green, KY 42101-1790 | 2012-04-10 |
| 1629270764 | Douglas Sterling Hess | Surgery | 1362 Conneaut Ave, Bowling Green, OH 43402-2126 | 2007-06-01 |
| 1467506931 | Douglas William Hess | Surgery | 640 S Wintergarden Road, Bowling Green, OH 43402 | 2007-01-22 |
| 1295885309 | Danny L Harrison | Surgery | 1711 Destiny Ln Ste 120, Bowling Green, KY 42104-1066 | 2007-01-11 |
| 1033174982 | Mark D. Jessen | Surgery | 1326 Andrea St, Bowling Green, KY 42104-3334 | 2006-04-20 |
| 1376547117 | Tage Haase | Surgery | 484 Golden Autumn Way Ste 201, Bowling Green, KY 42103-6913 | 2005-06-09 |
| 1871934133 | Jessen Surgical, Inc | Surgery | 1326 Andrea St, Bowling Green, KY 42104-3334 | 2013-07-15 |
| 1790097111 | Amber Chambers | Surgery | 484 Golden Autumn Way Ste 201, Bowling Green, KY 42103-6913 | 2010-07-14 |
| 1063660405 | Eric T. Wooten, D.o., Psc | Surgery | 1325 Andrea St, Ste. 209, Bowling Green, KY 42104-5852 | 2008-08-27 |
| 1982864344 | Onyeoziri Raphael Nwanguma | Surgery | 825 Second Avenue East, Suite A4, Bowling Green, KY 42101-1789 | 2008-06-10 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 43402 |
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| 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.