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Owensboro Health Medical Group INC

Internal Medicine, Gastroenterology in Owensboro, KY. Organization (NPI-2).

NPI number1265747752
StatusActive
Last updated in NPPESMay 19, 2025

Details

NPI
1265747752
Entity type
Organization (NPI-2)
Legal business name
Owensboro Health Medical Group INC
Organization subpart
No
Enumeration date
Aug 9, 2010
Certification date
May 19, 2025
Last updated
May 19, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology––Yes
363A00000X Physician Assistant––
363AM0700X Physician Assistant, Medical––
363L00000X Nurse Practitioner––
363LA2100X Nurse Practitioner, Acute Care––
363LF0000X Nurse Practitioner, Family––
363LP2300X Nurse Practitioner, Primary Care––

Other names

  • Owensboro Health Medical Group - Gastroenterology And Hepatology (Doing Business As)
  • Owensboro Health Gastroenterology And Hepatology (Doing Business As)
  • Owensboro Health Medical Group - Urgent Care (Doing Business As)

Practice location

1301 Pleasant Valley Rd Ste 401
Owensboro, KY 42303-9774

Phone 270-417-7800 · Fax 270-417-7809

Mailing address

Po Box 23229
Owensboro, KY 42304-3229

Phone 270-688-1330 · Fax 270-688-1338

Other practice locations

2211 Mayfair Dr Ste 101
Owensboro, KY 42301-4569

Phone 270-688-1352 · Fax 270-683-4313

1000 Breckenridge St Ste 302a
Owensboro, KY 42303-0877

Phone 812-491-1307 · Fax 270-228-2089

Authorized official

Russell S Ranallo
Secretary
2706857180

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Gastroenterology Physician providers in Owensboro, KY

All 10 Gastroenterology Physician providers in Owensboro · All 2,565 providers in Owensboro

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