WOOD COUNTY WOMENS CARE OF BOWLING GREEN, LLC – Obstetrics & Gynecology Physician, NPI 1962419978

WOOD COUNTY WOMENS CARE OF BOWLING GREEN, LLC is a healthcare provider. based in Perrysburg, Ohio. specializing in Obstetrics & Gynecology Physician. The NPI Number for WOOD COUNTY WOMENS CARE OF BOWLING GREEN, LLC is 1962419978

Main info

Organization
Name
WOOD COUNTY WOMENS CARE OF BOWLING GREEN, LLC
NPI
1962419978
Phone
(419) 872-3208
Address
3150 Bostwick Rd
Authorized Official
MR. STANLEY R. KORDUCKI PRESIDENT
Enumeration Date
2 August 2006
Last Update Date
9 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for WOOD COUNTY WOMENS CARE OF BOWLING GREEN, LLC

  • 3150 Bostwick Rd

    Perrysburg, OH 435517267

    Phone: (419) 872-3208

    Fax: (419) 872-3201

    Type: Location

  • 1214 RIDGEWOOD DR

    BOWLING GREEN, OH 434022664

    Phone: (419) 352-8427

    Fax: (419) 352-2120

    Type: Location

  • 745 HASKINS RD STE B

    BOWLING GREEN, OH 434021600

    Phone: (419) 373-7607

    Fax: (419) 353-7076

    Type: Mailing

  • 755, Haskins Road, Quail Hollow, Bowling Green, Wood County, Ohio, 43402, United States

    BOWLING GREEN, OH 43402

    Phone: (419) 352-8427

    Fax: (419) 352-2120

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-07-31 (311 days ago).

Enrollment records

1

Earliest due date

2025-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040512001537OClinic/Group PracticeOH2025-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43551)

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Reviews

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Frequently asked questions

Is there an official ID for WOOD COUNTY WOMENS CARE OF BOWLING GREEN, LLC in U.S. healthcare records?
The official identifier for WOOD COUNTY WOMENS CARE OF BOWLING GREEN, LLC is NPI 1962419978.
Is there an active status for WOOD COUNTY WOMENS CARE OF BOWLING GREEN, LLC?
For scheduling context, WOOD COUNTY WOMENS CARE OF BOWLING GREEN, LLC is shown as active in the registry.
What kind of doctor is WOOD COUNTY WOMENS CARE OF BOWLING GREEN, LLC?
WOOD COUNTY WOMENS CARE OF BOWLING GREEN, LLC is associated with Obstetrics & Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with WOOD COUNTY WOMENS CARE OF BOWLING GREEN, LLC?
Directory geography for WOOD COUNTY WOMENS CARE OF BOWLING GREEN, LLC centers on Perrysburg, Ohio.
When was this NPI issued?
Enumeration for WOOD COUNTY WOMENS CARE OF BOWLING GREEN, LLC is noted as August 2, 2006 where the registry provides it.

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