OWENSBORO HEALTH MEDICAL GROUP INC. NPI 1053782193

NPI Information

  • NPI: 1053782193
  • Provider Name: OWENSBORO HEALTH MEDICAL GROUP, INC.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • :
  • CLIA Number: 18D2140379
  • Address: 44 MCCOY AVE STE 133
    MADISONVILLE, KY
    ZIP 42431
  • Phone: (270) 326-5422

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NPI Details

OWENSBORO HEALTH MEDICAL GROUP, INC. is a cardiovascular disease internal medicine in Madisonville, KY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. OWENSBORO HEALTH MEDICAL GROUP, INC. NPI is 1053782193. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

44 MCCOY AVE STE 133
MADISONVILLE, KY
ZIP 42431-867
Phone: (270) 326-5422
Fax: (270) 326-5431

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 CLIA number assigned to this NPI record is 18D2140379 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2015 and was last updated on 2/19/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseKENTUCKYYes
2208VP0000XPain MedicinePain MedicineNo
3363LF0000XNurse PractitionerFamilyNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100378500 - MDMEDICAIDKENTUCKY

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: 11/21/2025

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