OWENSBORO HEALTH MEDICAL GROUP INC (NPI# 1457731515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457731515 |
Entity Type | Organization |
Organization Name | OWENSBORO HEALTH MEDICAL GROUP INC |
Other Organization Name | OWENSBORO HEALTH MEDICAL GROUP - FAMILY MEDICINE |
Practice Address |
1325 Triplett St # A Owensboro KY 42303 |
Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
Practice Telephone | 2706868500 |
Practice Fax Number | 2706855467 |
Mailing Telephone | 2706868500 |
Mailing Fax Number | 2706855467 |
Enumeration Date | 2015-06-04 |
Last Update Date | 2018-08-30 |
Authorized Official Name | JOHN T HACKBARTH JR. (SECRETARY) |
Authorized Official Telephone | 2704174813 |
Is Organization Subpart | Y |
Parent Organization Name | OWENSBORO HEALTH INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100376890-MD | 05 | |
KY | PENDING-PA | 05 | |
KY | 7100376930-APRN | 05 | |
IN | 201200950 | 05 |
Other Name | Type Code |
---|---|
Owensboro Health Medical Group - Family Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992292288 | Owensboro Health Medical Group Inc | Physician Assistant | 2235 Mayfair Dr, Owensboro, KY 42301-4519 | 2018-04-23 |
1891158119 | Owensboro Health Medical Group Inc | Physician Assistant | 420 Hopkinsville St, Greenville, KY 42345-1102 | 2016-04-04 |
1568824506 | Owensboro Health Medical Group Inc | Pediatrics | 1201 Pleasant Valley Road, Owensboro, KY 42304-0007 | 2016-03-28 |
1477914927 | Owensboro Health Medical Group Inc | Social Worker | 2401 New Hartford Rd, Owensboro, KY 42303-1312 | 2016-03-11 |
1316314602 | Owensboro Health Medical Group Inc | Family Medicine | 559 Main St, Rockport, IN 47635-1451 | 2015-08-21 |
1649652249 | Owensboro Health Medical Group Inc | Nurse Practitioner | 1871 Us Highway 41a S, Dixon, KY 42409-9448 | 2015-06-19 |
1891177556 | Owensboro Health Medical Group Inc | Otolaryngology | 1501 S Dixie St, Horse Cave, KY 42749-1480 | 2015-06-18 |
1770963613 | Owensboro Health Medical Group Inc | Nurse Practitioner | 1020 Breckenridge St, Owensboro, KY 42303-0803 | 2015-06-05 |
1336529494 | Owensboro Health Medical Group Inc | Internal Medicine | 1000 Breckenridge St, Suite 400, Owensboro, KY 42303-0839 | 2015-06-04 |
1699154203 | Owensboro Health Medical Group Inc | Family Medicine | 440 Hopkinsville St, Greenville, KY 42345-1124 | 2015-05-28 |
Street Address |
1325 TRIPLETT ST # A |
City | OWENSBORO |
State | KY |
Zip Code | 42303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003155029 | Kim Ann Harley | Nurse Practitioner | 1325 Triplett St # A, Owensboro, KY 42303-3163 | 2013-02-12 |
1033657895 | Justen L. Bickett | Nurse Practitioner | 1325 Triplett St # A, Owensboro, KY 42303 | 2017-02-01 |
1497137947 | Kristopher W. Wolfe | Internal Medicine | 1325 Triplett St # A, Owensboro, KY 42303 | 2015-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
Find all providers in zip 42303 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972140911 | E.d. Mills, Pllc | Family Medicine | 722 W Byers Ave, Owensboro, KY 42303-6330 | 2019-12-10 |
1194360578 | Alex Jolly | Family Medicine | 425 E 20th St, Owensboro, KY 42303-3804 | 2019-11-09 |
1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
1942690250 | Owensboro Health Medical Group, Inc | Family Medicine | 2315 Mayfair Dr Ste 14, Owensboro, KY 42301-4557 | 2015-01-26 |
1023415601 | Jones Medical Corp Dba Bridgewater Medical Center | Family Medicine | 750 Salem Drive, Owensboro, KY 42303 | 2014-11-26 |
1801152434 | Steven Roby | Family Medicine | 2200 E Parrish Ave Bldg A, Owensboro, KY 42303-1453 | 2012-04-09 |
1861631947 | John A Walker II | Family Medicine | 1000 Breckenridge St Ste 401, Owensboro, KY 42303-0878 | 2009-02-12 |
1033276225 | Fred Thomas Tuttle | Family Medicine | 4106 Mason Woods Ln, Owensboro, KY 42303-7552 | 2007-01-03 |
1386739464 | Tamberly L Mccoy | Family Medicine | 2816 Veach Rd Ste 308, Owensboro, KY 42303-6297 | 2006-10-04 |
Find all providers in OWENSBORO |
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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.