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OWENSBORO HEALTH MEDICAL GROUP INC NPI 1033522271


NPI Information

NPI: 1033522271
Provider Name: OWENSBORO HEALTH MEDICAL GROUP, INC

Doing Business As: OWENSBORO HEALTH MEDICAL GROUP - PLASTIC AND RECONSTRUCTIVE SURGERY

Classification: Plastic Surgery - 208200000X
Entity Type: Organization

CLIA Number: 18D2146083

Address:
2211 MAYFAIR DR STE 305
OWENSBORO, KY
ZIP 42301
Phone: (270) 688-3700
Get Directions

OWENSBORO HEALTH MEDICAL GROUP, INC is a plastic surgery in Owensboro, KY. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. OWENSBORO HEALTH MEDICAL GROUP, INC NPI is 1033522271. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Owensboro Health Medical Group - Plastic And Reconstructive Surgery.

The provider's business location address is:

2211 MAYFAIR DR STE 305
OWENSBORO, KY
ZIP 42301-572
Phone: (270) 688-3700
Fax: (270) 688-3709

The provider's authorized official is Russell S Ranallo .
The authorized official title is Secretary and has the following contact phone number (270) 417-4813.

The CLIA number assigned to this NPI record is 18D2146083 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2014 and was last updated on 6/7/2023.


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
12086S0122XSurgeryPlastic and Reconstructive SurgeryKENTUCKYNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4363LF0000XNurse PractitionerFamilyNo
5208200000XPlastic SurgeryKENTUCKYYes

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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