Owensboro Health Medical Group, Inc
Organization Active NPI Family Medicine Physician · Owensboro, KY
NPI 1154746600 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1154746600
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- OWENSBORO HEALTH MEDICAL GROUP, INC
- Practice address
- 811 E Parrish Ave Ste 101
Owensboro, KY 42303-3258 - Phone
- (270) 691-8040
- Fax
- (270) 691-8049
- NPI assigned
- Feb 20, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- OWENSBORO HEALTH, INC
Authorized official
- Name
- Russell S Ranallo
- Title
- Secretary
- Phone
- (270) 417-4813
Corporate family (same tax ID) 24
Practitioners 5
-
Ashley Nicole Burden, CNM
-
Theresa Noelle Lanham, D.O.
-
Grant R Turley, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040621000818 | KY | Part B Supplier - Clinic/Group Practice | 0648255034 |
Receives reassigned benefits from 677 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Mohammed Kaleemuddin MD
- Part of
- Owensboro Medical Health
Locations
2816 Veach Rd
Ste 403
Owensboro, KY 42303
Phone (270) 684-1145
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | KY | Yes | |
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | |||
| General Practice Physician |
208D00000X | |||
| Physician Assistant |
363A00000X | KY | ||
| Nurse Practitioner |
363L00000X | |||
| Family Nurse Practitioner |
363LF0000X | KY |
Addresses
Primary practice location
811 E Parrish Ave Ste 101
Owensboro, KY 42303-3258
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330
Other practice location 1
1000 Breckenridge St Ste 200
Owensboro, KY 42303-0876
Phone (270) 691-8040
Other names
- Owensboro Health Diabetes and Endocrinology
- Owensboro Health Medical Group - Family Medicine
Other providers in Owensboro, KY
- Owensboro Health Medical Group, Inc
- Owensboro Health Medical Group, Inc
- Owensboro Health Medical Group, Inc
- Owensboro Health Medical Group, Inc
- Owensboro Health Medical Group, Inc
- Owensboro Health Medical Group, Inc
- Owensboro Health Medical Group, Inc
- Owensboro Health Medical Group, Inc
- Owensboro Health Medical Group, Inc
- Owensboro Health Medical Group, Inc
All providers in Owensboro, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.