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OWENSBORO HEALTH MEDICAL GROUP INC NPI 1558779009


NPI Information

NPI: 1558779009
Provider Name: OWENSBORO HEALTH MEDICAL GROUP, INC

Doing Business As: OWENSBORO HEATLH MEDICAL GROUP EAR NOSE AND THROAT - OWENSBORO

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
1000 BRECKENRIDGE ST STE 303
OWENSBORO, KY
ZIP 42303
Phone: (270) 688-2720
Get Directions

OWENSBORO HEALTH MEDICAL GROUP, INC is an otolaryngology in Owensboro, KY. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. OWENSBORO HEALTH MEDICAL GROUP, INC NPI is 1558779009. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Owensboro Heatlh Medical Group Ear Nose And Throat - Owensboro.

The provider's business location address is:

1000 BRECKENRIDGE ST STE 303
OWENSBORO, KY
ZIP 42303-877
Phone: (270) 688-2720
Fax: (270) 688-2729

The provider's authorized official is Russell S. Ranallo .
The authorized official title is Secretary and has the following contact phone number (270) 685-7180.

The enumeration date for this NPI number is 7/29/2014 and was last updated on 10/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YS0123XOtolaryngologyFacial Plastic SurgeryNo
2208200000XPlastic SurgeryKENTUCKYNo
3363LF0000XNurse PractitionerFamilyNo
4207Y00000XOtolaryngologyKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100319530 (MD)MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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