NPIMap

Owensboro Health Medical Group, Inc

Organization Active NPI Family Medicine Physician · Owensboro, KY

NPI 1376594242 · NPPES record last updated Dec 18, 2025

Key facts

NPI
1376594242
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
OWENSBORO HEALTH MEDICAL GROUP, INC
Practice address
2211 Mayfair Dr Ste 101
Owensboro, KY 42301
Phone
(270) 688-1352
Fax
(270) 683-4313
NPI assigned
May 15, 2006
Organization subpart
Yes
Parent organization (as reported)
OWENSBORO HEALTH INC

Authorized official

Name
Teresa Ann Pennington
Title
Cred Specialist
Phone
(270) 691-8070

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 543

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

View all 543

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in KY, IN

Rural health clinic certification: CCN 188918

Legal name
OWENSBORO HEALTH MEDICAL GROUP INC
Doing business as
OWENSBORO HEALTH MEDICAL GROUP-FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 10, 2012
Last certification
Jan 27, 2016
Ownership / control type
2B
Organization structure
Corporation · Non-profit
Incorporated
Feb 28, 1991 in KY
Enrollment address
1213 N Main St
Beaver Dam, KY 42320-8955

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Russell S Ranallo
Individual 		Corporate Officer
VP Financial Services		 Jan 1, 2005
W-2 Managing Employee
VP Financial Services		 Jan 1, 2005
Deborah Bostic
Individual 		Corporate Officer
Chief Nursing Officer		 Mar 1, 2016
W-2 Managing Employee
Chief Nursing Officer		 Mar 1, 2016
Jeffrey Thomas
Individual 		Corporate Officer
Cfo		 Aug 2, 2021
W-2 Managing Employee
Cfo		 Aug 2, 2021
Mia Suter
Individual 		W-2 Managing Employee
Chief Administrative Officer		 Aug 14, 2000
Mark a Marsh
Individual 		Corporate Officer
President and Ceo		 Jun 7, 2021
W-2 Managing Employee
President and Ceo		 Jun 7, 2021
Ernest Begley
Individual 		Corporate Officer
Chief Legal Officer		 Jan 7, 2008
Francis J. Dufrayne
Individual 		Corporate Officer
Chief Medical Offier		 Sep 1, 2015
W-2 Managing Employee
Chief Medical Officer		 Sep 1, 2015

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
O20070501000435 IN Part B Supplier - Clinic/Group Practice 0648255034 Receives reassigned benefits from 18 practitioners
6 other NPIs on this enrollment
Practice locations: Tell City, IN
O20120625000304 KY Part a Provider - Rural Health Clinic 0648255034 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beaver Dam, KY

National Provider Directory

Part of
Owensboro Medical Health

Locations (25 of 46)

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

27 US Highway 66 E
Tell City, IN 47586
Phone (812) 395-2011

1217 N Main St
Beaver Dam, KY 42320
Phone (270) 274-7311

301 Sunset Dr
Caneyville, KY 42721
Phone (270) 879-3711

105 Financial Pl
Ste A
Elizabethtown, KY 42701

440 Hopkinsville St
#2E
Greenville, KY 42345
Phone (270) 417-7500

211 S Cherry St
Ste 2
Greenville, KY 42345
Phone (270) 377-1950

230 N Green St
Henderson, KY 42420
Phone (270) 854-3196

3135 Zion Rd
Ste B
Henderson, KY 42420
Phone (270) 826-9444

901 Wallace Ave
Ste 301
Leitchfield, KY 42754

100 Wd Funkhouser
Lexington, KY 40506

9200 Shelbyville Rd
Ste 530
Louisville, KY 40222
Phone 50232791001025

519 Ruby Dr
Madisonville, KY 42431

1201 Pleasant Valley Rd
#3
Owensboro, KY 42303

802 Frederica St
Owensboro, KY 42301

1301 Pleasant Valley Rd
Ste 404A
Owensboro, KY 42303
Phone (270) 417-7641

1201 Pleasant Valley Rd
Ste A
Owensboro, KY 42303

1301 Pleasant Valley Rd
Ste 500C
Owensboro, KY 42303
Phone (270) 417-7830

815 E Parrish Ave
Ste 420
Owensboro, KY 42303
Phone (270) 688-6590

2211 Mayfair Dr
Ste 301
Owensboro, KY 42301
Phone (270) 688-4430

2806 New Hartford Rd
Owensboro, KY 42303

2211 Mayfair Dr
Ste 202
Owensboro, KY 42301
Phone (270) 688-4480

1301 Pleasant Valley Rd
Ste 500B
Owensboro, KY 42303
Phone (270) 417-7940

1201 Pleasant Valley Rd
#500B
Owensboro, KY 42303

815 E Parrish Ave
Ste 130
Owensboro, KY 42303
Phone (270) 688-0808

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YP2500X
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 1041C0700X
Emergency Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207P00000X KY
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X KY Yes
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X KY
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0000X KY
Clinical Cardiac Electrophysiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RC0001X KY
Interventional Cardiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RI0011X KY
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RP1001X KY
Rheumatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RR0500X KY
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X KY
Occupational Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2083X0100X KY
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X KY
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X KY

Addresses

Primary practice location

2211 Mayfair Dr Ste 101
Owensboro, KY 42301

Mailing address

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

Other practice location 1

421 7th St
Tell City, IN 47586-2202
Phone (812) 395-2011

Other practice location 2

1000 Breckenridge St Ste 303
Owensboro, KY 42303-0877
Phone (270) 688-5100

Other practice location 3

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-4813

Other practice location 4

2211 Mayfair Dr Ste 102
Owensboro, KY 42301-4569
Phone (270) 688-1351

Other practice location 5

1301 Pleasant Valley Rd Ste 404
Owensboro, KY 42303-9774
Phone (270) 417-7515

Other practice location 6

444 S Main St
Madisonville, KY 42431-2846
Phone (270) 821-4444

Other practice location 7

811 E Parrish Ave
Owensboro, KY 42303-3258
Phone (270) 688-5100

Other names

  • Owensboro Health Medical Group - EKG Professional Services Doing business as
  • Owensboro Health Medical Group - Family Medicine Doing business as
  • Owensboro Health Medical Group - Hospitalists Doing business as
  • Owensboro Health Medical Group - MultiCare Doing business as
  • Owensboro Health Medical Group - Occupational Medicine Doing business as
  • Owensboro Health Medical Group - Rheumatology Doing business as
  • Owensboro Health Medical Group - Urgent Care Doing business as
  • Owensboro Health Pulmonology and Sleep Medicine Doing business as

Other providers in Owensboro, KY

All providers in Owensboro, KY · Family Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.