BOWLING GREEN CLINIC, INC.
NPI 1053485607
Family Medicine in Bowling Green, OH

Active since November 17, 2006CLIA 36D0670088 · Waiver
1039 HASKINS RD, BOWLING GREEN, OH 43402(419) 352-1121(419) 352-1179 Get Directions Write a Review

NPPES record last updated: January 9, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine
  • CLIA Number: 36D0670088
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About BOWLING GREEN CLINIC, INC.

This page provides the complete NPI Profile along with additional information for Bowling Green Clinic, Inc., a primary care provider established in Bowling Green, Ohio operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1053485607 assigned on November 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. Bowling Green Clinic, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mohammad Sidiq M.d. (President)

NPI
1053485607 Verify this NPI
Provider Name
BOWLING GREEN CLINIC, INC.
Entity Type
Organization
Location Address
1039 HASKINS RD BOWLING GREEN, OH 43402
Location Phone
(419) 352-1121
Location Fax
(419) 352-1179
Mailing Address
745 HASKINS RD STE B BOWLING GREEN, OH 43402
Mailing Phone
(419) 353-7018
Mailing Fax
(419) 353-7018
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-17-2006
Last Update Date
01-09-2008
Code Navigator

A primary care provider (PCP) like Bowling Green Clinic, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MOHAMMAD SIDIQ M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(419) 352-1121

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9336411MEDICARE PIN (08)OH 
2344529MEDICAID (05)OH 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0670088
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
BRANDON HEMMINGER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bowling Green Clinic, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BOWLING GREEN CLINIC, INC.

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Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
1039 HASKINS RD
BOWLING GREEN, OH 43402
Internal Medicine
1039 HASKINS RD
BOWLING GREEN, OH 43402
General Practice
1039 HASKINS RD
BOWLING GREEN, OH 43402
Specialist
1039 HASKINS RD, SUITE L
BOWLING GREEN, OH 43402
Physician Assistant (Medical)
1039 HASKINS RD
BOWLING GREEN, OH 43402
Occupational Therapist
1039 HASKINS RD, SUITE L
BOWLING GREEN, OH 43402
Family Medicine
1039 HASKINS RD, SUITE A
BOWLING GREEN, OH 43402
Durable Medical Equipment & Medical Supplies
1039 HASKINS RD, SUITE L
BOWLING GREEN, OH 43402
Family Medicine
1039 HASKINS RD, SUITE A
BOWLING GREEN, OH 43402
Clinical Nurse Specialist (Family Health)
1039 HASKINS RD, SUITE A
BOWLING GREEN, OH 43402
Nurse Practitioner
1039 HASKINS RD, SUITE A
BOWLING GREEN, OH 43402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053485607, enumerated as an "organization" on November 17, 2006.

The provider is located at 1039 HASKINS RD BOWLING GREEN, OH 43402 and the phone number is (419) 352-1121.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.