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Owensboro Health Medical Group Inc

Organization Active NPI Gastroenterology Physician · Owensboro, KY

NPI 1265747752 · NPPES record last updated May 19, 2025

Key facts

NPI
1265747752
Entity type
Organization (NPI type 2)
Primary specialty
Gastroenterology Physician 207RG0100X
Legal business name
OWENSBORO HEALTH MEDICAL GROUP INC
Practice address
1301 Pleasant Valley Rd Ste 401
Owensboro, KY 42303-9774
Phone
(270) 417-7800
Fax
(270) 417-7809
NPI assigned
Aug 9, 2010
Organization subpart
No

Authorized official

Name
Russell S Ranallo
Title
Secretary
Phone
(270) 685-7180

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

Locations

8599 High Pointe Dr
Newburgh, IN 47630
Phone (812) 842-0370

8500 High Pointe Dr
Newburgh, IN 47630

27 US Highway 66 W
Tell City, IN 47586

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RG0100X Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X
Medical Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363AM0700X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X
Acute Care Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LA2100X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X
Primary Care Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LP2300X

Addresses

Primary practice location

1301 Pleasant Valley Rd Ste 401
Owensboro, KY 42303-9774

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

2211 Mayfair Dr Ste 101
Owensboro, KY 42301-4569
Phone (270) 688-1352

Other practice location 2

1000 Breckenridge St Ste 302A
Owensboro, KY 42303-0877
Phone (812) 491-1307

Other names

  • Owensboro Health Gastroenterology and Hepatology Doing business as
  • Owensboro Health Medical Group - Gastroenterology and Hepatology Doing business as
  • Owensboro Health Medical Group - Urgent Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 19, 2025.

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1265747752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLEASANT VALLEY RD STE 401",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039774",
            "telephone_number": "270-417-7800",
            "fax_number": "270-417-7809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Mayfair Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423014569",
            "country_code": "US",
            "telephone_number": "270-688-1352",
            "fax_number": "270-683-4313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Breckenridge St Ste 302A",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423030877",
            "country_code": "US",
            "telephone_number": "812-491-1307",
            "fax_number": "270-228-2089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OWENSBORO HEALTH MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "RANALLO",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "270-685-7180"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owensboro Health Gastroenterology and Hepatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Owensboro Health Medical Group - Gastroenterology and Hepatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Owensboro Health Medical Group - Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

All providers in Owensboro, KY · Gastroenterology Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.