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MCMD, PSC
NPI 1740407667
Family Medicine in Bowling Green, KY

Active since April 20, 2007CLIA 18D1064940 · Waiver
1340 ELLIS PLACE, BOWLING GREEN, KY 42104(270) 782-6362(270) 796-2800 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mcmd, Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCMD, PSC (NPI 1740407667) is a healthcare organization registered as a family medicine in Bowling Green, Kentucky and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through October 6, 2026 and lists Michael John Collins, Sole Proprietorship, as its authorized official.

NPPES Registry Identity

NPI1740407667
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMCMD, PSC
Location Address1340 ELLIS PLACEBowling Green, KY 42104
Mailing Address1340 Ellis PlaceBowling Green, KY 42104 · (270) 782-6362 · Fax (270) 796-2800
Phone(270) 782-6362
Fax(270) 796-2800
Organization SubpartNo
Authorized OfficialMichael John CollinsSole Proprietorship · (270) 782-6362
Enumeration DateApril 20, 2007
Last NPPES UpdateJune 16, 2015
✔ NPI 1740407667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 19109
Definition
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.
1340 ELLIS PLACE, Bowling Green, KY 42104
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Other Identifiers 2

Medicare PIN00186KY
Medicaid641910KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D1064940

Mcmd, Psc · Bowling Green, KY
Active · expires Oct 6, 2026
CLIA Number18D1064940
Laboratory TypePractitioner Other
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorDr. Michael J. Collins
Laboratory Phone(270) 782-6362
Laboratory LocationMcmd, Psc1340 Ellis Place, Bowling Green, KY 42101
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mcmd, Psc's NPI number?

The NPI number for Mcmd, Psc is 1740407667. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Mcmd, Psc located?

Mcmd, Psc is located at 1340 Ellis Place, Bowling Green, KY 42104. The listed phone number is (270) 782-6362.

What is Mcmd, Psc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mcmd, Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1064940) is associated with this NPI, valid through October 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mcmd, Psc was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.