OWENSBORO HEALTH MEDICAL GROUP, INC. (NPI# 1780841361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780841361 |
| Entity Type | Organization |
| Organization Name | OWENSBORO HEALTH MEDICAL GROUP, INC. |
| Other Organization Name | OWENSBORO HEALTH MEDICAL GROUP - ORTHOPEDICS & SPORTS MEDICINE |
| Practice Address |
1301 Pleasant Valley Rd Ste 202 Owensboro KY 42303 |
| Mailing Address |
1201 Pleasant Valley Rd Owensboro KY 42303-9619 |
| Practice Telephone | 2704177500 |
| Practice Fax Number | 2704177509 |
| Mailing Telephone | 2704174813 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2020-09-09 |
| 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 | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
KY | Allopathic & Osteopathic Physicians | |
| N | 207V00000X | Obstetrics & Gynecology | KY | Allopathic & Osteopathic Physicians | |
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | KY | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
KY | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
KY | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363L00000X | Nurse Practitioner | KY | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
KY | Allopathic & Osteopathic Physicians | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100118070 | 05 | |
| KY | 7100197590 | 05 | |
| KY | BCBS-MULTICARE CLINIC | 000000475394 | 01 |
| KY | BCBS - CONVENIENT CARE, TELL CITY & PENNYRILE PULMONARY CRITICAL | 000000059970 | 01 |
| IN | 200135730 | 05 | |
| KY | 7100172490 | 05 | |
| KY | 7100135170 | 05 | |
| KY | 7100137590 | 05 | |
| KY | BCBS-WESTERN KENTUCKY RHEUMATOLOGY CENTER | 000000519327 | 01 |
| KY | 7100129860 | 05 | |
| KY | 7100197570 | 05 |
| Other Name | Type Code |
|---|---|
| Owensboro Health Medical Group - Cardiology | Doing Business As Name - Organization |
| Owensboro Health Medical Group - Hematology and Oncology | Doing Business As Name - Organization |
| Owensboro Health Medical Group - Obstetrics and Gynecology | Doing Business As Name - Organization |
| Owensboro Health Medical Group - Orthopedics & Sports Medicine | Doing Business As Name - Organization |
| Owensboro Health Outpatient Imaging | Doing Business As Name - Organization |
| Owensboro Health Radiation Therapy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Breckenridge St Ste 200, Owensboro, KY 423030876 | 2706883445 | 2706883344 |
| 1000 Breckenridge St Ste 201, Owensboro, KY 423030876 | 2706883445 | 2706883344 |
| 1020 Breckenridge St, Owensboro, KY 423030803 | 2706883600 | 2706883673 |
| 1211 Main St, Hartford, KY 423471619 | 2702989507 | 2702989937 |
| 1301 Pleasant Valley Rd Ste 300, Owensboro, KY 423039774 | 2704177700 | 2704177705 |
| 1301 Pleasant Valley Rd Ste 500b, Owensboro, KY 423039774 | 2704177940 | 2704177949 |
| 2200 E Parrish Ave Bldg D, Owensboro, KY 423031458 | 2709268171 | 2709264574 |
| 8885 State Road 237, Tell City, IN 475868567 | 8125470106 | 8125470104 |
| 910 Wallace Ave, Leitchfield, KY 427542414 | 2706883445 | 2706883444 |
| 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 |
1301 PLEASANT VALLEY RD STE 202 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174510168 | Mary L Oberst | Internal Medicine | 1301 Pleasant Valley Rd Ste 202, Owensboro, KY 42303-9774 | 2005-10-04 |
| 1457907610 | Ericka Joy Dehaven | Physician Assistant | 1301 Pleasant Valley Rd Ste 202, Owensboro, KY 42303-9774 | 2019-08-14 |
| 1366095820 | Shannon B. Gleason | Nurse Practitioner | 1301 Pleasant Valley Rd Ste 202, Owensboro, KY 42303-9774 | 2019-07-23 |
| 1841502309 | Kebede W Shire | Internal Medicine | 1301 Pleasant Valley Rd Ste 202, Owensboro, KY 42303 | 2010-07-12 |
| 1962536953 | Brian A. Price | Internal Medicine | 1301 Pleasant Valley Rd Ste 202, Owensboro, KY 42303 | 2007-03-14 |
| 1376606830 | Michael Bryant Kelley | Internal Medicine | 1301 Pleasant Valley Rd Ste 202, Owensboro, KY 42303 | 2006-12-18 |
| 1346348992 | Tseday E. Sirak | Internal Medicine | 1301 Pleasant Valley Rd Ste 202, Owensboro, KY 42303 | 2006-09-20 |
| 1225056724 | Ali K Salah | Internal Medicine | 1301 Pleasant Valley Rd Ste 202, Owensboro, KY 42303-9774 | 2006-07-17 |
| 1285695031 | Niki E. Kantrowitz | Internal Medicine | 1301 Pleasant Valley Rd Ste 202, Owensboro, KY 42303 | 2006-03-31 |
| 1326019142 | Getu Assefa | Internal Medicine | 1301 Pleasant Valley Rd Ste 202, Owensboro, KY 42303-9774 | 2006-01-30 |
| Find all providers in the same location | ||||
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063966778 | Roshan K Mathew, Md. P.s.c. | Internal Medicine | 3110 Fairview Dr, Owensboro, KY 42303-2175 | 2016-08-10 |
| 1982719852 | Green River Heart Institute, P.s.c. | Internal Medicine | 815 E Parrish Ave, Suite 240, Owensboro, KY 42303-3222 | 2006-08-20 |
| 1760481824 | Michael J Jarvis | Internal Medicine | 815 E Parrish Ave, Suite 330, Owensboro, KY 42303-3222 | 2005-07-20 |
| 1386643518 | Choice Medical Care, Psc | Internal Medicine | 815 E Parrish Ave, Suite 330, Owensboro, KY 42303-3222 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093250615 | Advanced Vascular Institute | Internal Medicine | 1374 Highway 192 E, London, KY 40741-3123 | 2017-01-05 |
| 1659770733 | Scott C Harris Do Pllc | Internal Medicine | 112 Windmere Dr, Bowling Green, KY 42103-8720 | 2014-08-14 |
| 1457554750 | Tullio Emanuele Md, Psc | Internal Medicine | 720 Second Street, Suite 204, Bowling Green, KY 42101-5852 | 2007-06-06 |
| 1083823421 | Our Lady of Bellefonte Hospital | Internal Medicine | 1180 Saint Christopher Dr, Ste. 2, Ashland, KY 41101-7055 | 2007-05-22 |
| 1750359857 | Michele A Friday | Internal Medicine | 1180 Saint Christopher Dr Ste 2, Ashland, KY 41101-7055 | 2006-03-14 |
| 1740255314 | Avichai Eres | Internal Medicine | 161 N Eagle Creek Dr, Suite 400, Lexington, KY 40509-9038 | 2006-02-17 |
| 1053310409 | Mohammed Kazimuddin | Internal Medicine | 825 Second Ave, Ste B1, Bowling Green, KY 42101 | 2005-07-19 |
| 1235645607 | Appalachian Vascular Institute, Pllc | Internal Medicine | 243 Roy Campbell Dr Ste B, Hazard, KY 41701-9485 | 2017-12-21 |
| 1770001877 | Owensboro Health Medical Group, Inc. | Internal Medicine | 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 | 2017-09-08 |
| 1346788023 | Julie Reinstatler | Internal Medicine | 800 Rose St, Lexington, KY 40536-7001 | 2017-02-02 |
| Find all providers with the same taxonomy | ||||
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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.