OWENSBORO HEALTH MEDICAL GROUP, INC. (NPI# 1518326990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518326990 |
| Entity Type | Organization |
| Organization Name | OWENSBORO HEALTH MEDICAL GROUP, INC. |
| Other Organization Name | OWENSBORO HEALTH MEDICAL GROUP - MATERNAL AND FETAL MEDICINE |
| Practice Address |
2211 Mayfair Dr Suite 305 Owensboro KY 42301-4568 |
| Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
| Practice Telephone | 2704177700 |
| Practice Fax Number | 2704177705 |
| Mailing Telephone | 2706881330 |
| Mailing Fax Number | 2706881338 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2019-07-11 |
| 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 | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100386320-MD | 05 | |
| IN | 201200950 | 05 |
| Other Name | Type Code |
|---|---|
| Owensboro Health Medical Group - Maternal and Fetal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346710167 | Owensboro Health Medical Group, Inc. | Social Worker | 811 E Parrish Ave Ste 102, Owensboro, KY 42303-3258 | 2018-12-05 |
| 1588019186 | Owensboro Health Medical Group, Inc. | Nurse Practitioner | 1997 Barret Ct, Suite B, Henderson, KY 42420-2667 | 2016-05-02 |
| 1689291577 | Owensboro Health Medical Group, Inc. | Nurse Practitioner | 440 Hopkinsville St, Greenville, KY 42345-1124 | 2020-06-26 |
| 1184257693 | Owensboro Health Medical Group, Inc. | Nurse Practitioner | 1201 Pleasant Valley Rd Fl 3, Owensboro, KY 42303-9811 | 2020-02-13 |
| 1043863509 | Owensboro Health Medical Group, Inc. | Pain Medicine | 440 Hopkinsville St, Greenville, KY 42345-1124 | 2019-07-23 |
| 1053810036 | Owensboro Health Medical Group, Inc. | Internal Medicine | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 | 2018-02-06 |
| 1609374693 | Owensboro Health Medical Group, Inc. | Clinical Medical Laboratory | 1200 Barrett Blvd, Henderson, KY 42420-4950 | 2018-01-25 |
| 1750800256 | Owensboro Health Medical Group, Inc. | Counselor | 510 Ruby Dr, Madisonville, KY 42431-2168 | 2017-09-15 |
| 1770001877 | Owensboro Health Medical Group, Inc. | Internal Medicine | 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 | 2017-09-08 |
| 1609394840 | Owensboro Health Medical Group, Inc. | Nurse Practitioner | 1200 Barrett Blvd, Henderson, KY 42420-4950 | 2017-09-08 |
| Street Address |
2211 MAYFAIR DR SUITE 305 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589970 | Elizabeth Hawkins Ottman | Obstetrics & Gynecology | 2211 Mayfair Dr, Ste 301, Owensboro, KY 42301-4569 | 2005-06-22 |
| 1669863585 | Whitney Dawn Peay | Counselor | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2015-02-13 |
| 1558779009 | Owensboro Health Medical Group, Inc | Plastic Surgery | 2211 Mayfair Dr, Suite 305, Owensboro, KY 42301-4568 | 2014-07-29 |
| 1932530029 | Stephanie M Decker | Social Worker | 2211 Mayfair Dr, Ste 409, Owensboro, KY 42301-4570 | 2013-11-27 |
| 1639517451 | Snehamala Veeravalli | Psychiatry & Neurology | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2013-06-14 |
| 1013353101 | Owensboro Health Medical Group, Inc | Counselor | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301 | 2013-05-15 |
| 1669739777 | Jin S. Amon | Psychiatry & Neurology | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2012-04-13 |
| 1699067074 | Associated Owensboro Urology | Urology | 2211 Mayfair Dr, Suite 401, Owensboro, KY 42301-4568 | 2011-05-04 |
| 1518258177 | Ohio County Hospital Corp Inc | Urology | 2211 Mayfair Dr, Suite 410, Owensboro, KY 42301-4568 | 2011-04-29 |
| 1164738951 | Kara D Meschko | Nurse Practitioner | 2211 Mayfair Dr, Suite 101, Owensboro, KY 42301-4568 | 2010-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487748968 | Ann L Clark | Obstetrics & Gynecology | 2211 Mayfair Dr, Suite 305, Owensboro, KY 42301-4568 | 2006-10-02 |
| 1235159021 | Thomas N. Tabb | Obstetrics & Gynecology | 1301 Pleasant Valley Rd, Suite 300, Owensboro, KY 42303-9774 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891984597 | Central Kentucky High Risk Obstetrics, Pllc | Obstetrics & Gynecology | 170 N. Eagle Creek Drive, Suite 110, Lexington, KY 40509-1805 | 2007-10-18 |
| 1306966189 | Baptist Medical Associates Inc | Obstetrics & Gynecology | 13117 Eastpoint Park Blvd, Suite D, Louisville, KY 40223-4193 | 2007-03-29 |
| 1962464396 | Thomas Moore Jenkins | Obstetrics & Gynecology | 601 South Floyd Street, Suite 700, Louisville, KY 40218-1933 | 2006-04-03 |
| 1871915835 | University of Louisville Research Foundation Inc | Obstetrics & Gynecology | 401 E Chestnut St, Suite 410, Louisville, KY 40202-5700 | 2014-01-10 |
| 1558636670 | University of Louisville Physicians, Inc. | Obstetrics & Gynecology | 401 E Chestnut St, Suite 410, Louisville, KY 40202-5700 | 2012-03-22 |
| 1750559233 | Molly V Houser | Obstetrics & Gynecology | 1700 Nicholasville Rd, Suite 703, Lexington, KY 40503-1431 | 2008-02-18 |
| 1376652636 | Adam K Hiett | Obstetrics & Gynecology | 1700 Nicholasville Rd, 703, Lexington, KY 40503-1431 | 2006-08-30 |
| 1497765556 | Douglas A Milligan | Obstetrics & Gynecology | 1740 Nicholasville Rd, Lexington, KY 40503-1431 | 2006-08-09 |
| 1629088869 | John R Barton | Obstetrics & Gynecology | 1740 Nicholasville Rd, Lexington, KY 40503-1431 | 2006-08-09 |
| 1013930635 | Stanley A. Gall | Obstetrics & Gynecology | 550 S Jackson St, 3rd Floor, Louisville, KY 40202-1622 | 2006-07-25 |
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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.