Active NPI
Owensboro Dermatology Associates
- Physician Assistant
- Owensboro, KY
National Provider Identifier
1093138323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- OWENSBORO DERMATOLOGY ASSOCIATES
- Practice address
- 2821 New Hartford Rd
Owensboro, KY 42303-1320 - Phone
- (270) 685-5777
- Fax
- (270) 685-0190
- NPI assigned
- Jan 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julia Alvey
- Title
- Credentialing
- Phone
- (270) 852-3893
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2821 New Hartford Rd
Owensboro, KY 42303-1320
Mailing address
2821 New Hartford Rd
Owensboro, KY 42303-1320
Phone (270) 685-5777
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749081600000",
"number": "1093138323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 NEW HARTFORD RD",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423031320",
"telephone_number": "270-685-5777",
"fax_number": "270-685-0190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 NEW HARTFORD RD",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423031320",
"telephone_number": "270-685-5777",
"fax_number": "270-685-0190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OWENSBORO DERMATOLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-22",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A",
"authorized_official_last_name": "ALVEY",
"authorized_official_first_name": "JULIA",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "270-852-3893"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
- Owensboro Anesthesia Services, PLLC
- Owensboro Behavioral Care PSC
- Owensboro Board of Education
- Owensboro Cancer Center PSC
- Owensboro Center for Oral & Maxillofacial Surgery, PLLC
- Owensboro Dermatology Associates, PSC (Henderson Dermatology)
- Owensboro Endodontics, PSC
- Owensboro Eyecare Center PLLC
- Owensboro Family Eye Care Center PSC
- Owensboro Family Medicine PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.