OWENSBORO HEALTH MEDICAL GROUP INC NPI 1154738987

NPI Information

NPI: 1154738987
Provider Name: OWENSBORO HEALTH MEDICAL GROUP, INC

Doing Business As: OWENSBORO HEALTH MEDICAL GROUP - ORTHOPEDICS & SPORTS MEDICINE

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1301 PLEASANT VALLEY RD
SUITE 500B
OWENSBORO, KY
ZIP 42303
Phone: (270) 417-7940
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OWENSBORO HEALTH MEDICAL GROUP, INC is a foot and ankle surgery podiatrist in Owensboro, KY. OWENSBORO HEALTH MEDICAL GROUP, INC NPI is 1154738987. 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 - Orthopedics & Sports Medicine.

The provider's business location address is:

1301 PLEASANT VALLEY RD
SUITE 500B
OWENSBORO, KY
ZIP 42303-774
Phone: (270) 417-7940
Fax: (270) 417-7949

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 enumeration date for this NPI number is 7/14/2014 and was last updated on 12/1/2022.

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 State	Primary
1	207QS0010X	Family Medicine	Sports Medicine		No
2	207X00000X	Orthopaedic Surgery		KENTUCKY	No
3	363AS0400X	Physician Assistant	Surgical	KENTUCKY	No
4	363LF0000X	Nurse Practitioner	Family		No
5	213ES0103X	Podiatrist	Foot & Ankle Surgery		Yes

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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