OrganizationActive
Promedica Genito-Urinary Surgeons LLC
NPI 1386071652 · Urology Physician · Bowling Green, OH
Provider details
- NPI number
- 1386071652
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Dwyer, Credentialing Supervisor(419) 824-7334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
970 W Wooster St
Suite 129
Bowling Green, OH 43402-2643
Phone: (419) 353-1239
Fax: (419) 353-8364
Street-level locationGet directions
Mailing address
970 W Wooster St
Bowling Green, OH 43402-2643
Registry dates
- Enumerated
- 2013-10-02
- Last updated
- 2013-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.