Active NPI
Owensboro Health Medical Group, Inc
Doing business as Owensboro Health Medical Group - EKG Professional Services
- Family Medicine Physician
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- OWENSBORO HEALTH MEDICAL GROUP, INC
- Doing business as
- Owensboro Health Medical Group - EKG Professional Services
Owensboro Health Medical Group - Family Medicine
Owensboro Health Medical Group - Hospitalists - Practice address
- 2211 Mayfair Dr Ste 101
Owensboro, KY 42301 - Phone
- (270) 688-1352
- Fax
- (270) 683-4313
- NPI assigned
- May 15, 2006
- Last updated
- Dec 18, 2025
- Organization subpart
- Yes
- Parent organization
- OWENSBORO HEALTH INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa Ann Pennington
- Title
- Cred Specialist
- Phone
- (270) 691-8070
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Emergency Medicine Physician | 207P00000X | KY | ||
| Family Medicine Physician | 207Q00000X | KY | Primary | |
| Internal Medicine Physician | 207R00000X | KY | ||
| Cardiovascular Disease Physician | 207RC0000X | KY | ||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | KY | ||
| Interventional Cardiology Physician | 207RI0011X | KY | ||
| Pulmonary Disease Physician | 207RP1001X | KY | ||
| Rheumatology Physician | 207RR0500X | KY | ||
| Pediatrics Physician | 208000000X | KY | ||
| Occupational Medicine Physician | 2083X0100X | KY | ||
| Physician Assistant | 363A00000X | KY | ||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 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 8
- Owensboro Health Medical Group - EKG Professional Services
- Owensboro Health Medical Group - Family Medicine
- Owensboro Health Medical Group - Hospitalists
- Owensboro Health Medical Group - MultiCare
- Owensboro Health Medical Group - Occupational Medicine
- Owensboro Health Medical Group - Rheumatology
- Owensboro Health Medical Group - Urgent Care
- Owensboro Health Pulmonology and Sleep Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 3
| 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 |
| 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 |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1376594242. Details of each certification follow.
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
- Incorporated
- Feb 28, 1991 in KY
- Enrollment address
- 1213 N Main St
Beaver Dam, KY 42320-8955
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
0648255034
-
dba Owensboro Health Madisonville Healthplex
- Clinical Medical Laboratory
- Madisonville, KY
- NPI 1043343536
0648255034
-
dba Owensboro Health Medical Group - Family Medicine
- Rural Health Clinic/Center
- Beaver Dam, KY
- NPI 1194161984
0648255034
-
dba Owensboro Health Henderson Healthplex
- Clinical Medical Laboratory
- Henderson, KY
- NPI 1609374693
0648255034
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Owensboro Health Medical Group - Behavioral Health
- Psychiatry Physician
- Owensboro, KY
- NPI 1013353101
O20070501000435
-
dba Owensboro Health Medical Group - Family Medicine
- Rural Health Clinic/Center
- Beaver Dam, KY
- NPI 1194161984
O20120625000304
-
dba Owensboro Health Medical Group - Surgical Specialists
- Surgery Physician
- Owensboro, KY
- NPI 1346582194
O20070501000435
-
dba Owensboro Health Medical Group - Urology
- Urology Physician
- Owensboro, KY
- NPI 1952736365
O20070501000435
-
dba Owensboro Health Cardiology
- Specialist
- Owensboro, KY
- NPI 1780841361
O20070501000435
-
dba One Health Rockport
- Family Medicine Physician
- Rockport, IN
- NPI 1316314602
O20070501000435
-
- General Practice Physician
- Tell City, IN
- NPI 1427486562
O20070501000435
National Provider Directory
National Provider Directory- Part of
- Owensboro Health Outpatient
Locations (25 of 50)
3801 Bellemeade Ave
Ste 110
Evansville, IN 47714
Phone (812) 471-1200
111 US Highway 66 E
Tell City, IN 47586
Phone (812) 547-7448
110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409
15100 N US Highway 25 E
Ste 1
Corbin, KY 40701
Phone (606) 261-2054
105 Financial Pl
Ste A
Elizabethtown, KY 42701
301 Versailles Rd
Frankfort, KY 40601
Phone (502) 352-2310
211 S Cherry St
Ste 1
Greenville, KY 42345
Phone (270) 377-1952
440 Hopkinsville St
#2E
Greenville, KY 42345
Phone (270) 417-7500
3135 Zion Rd
Ste B
Henderson, KY 42420
Phone (270) 826-9444
901 Wallace Ave
Ste 301
Leitchfield, KY 42754
910 Wallace Ave
Ste 207
Leitchfield, KY 42754
Phone (270) 259-2714
912 Wallace Ave
Ste 105
Leitchfield, KY 42754
Phone (270) 230-0251
100 Wd Funkhouser
Lexington, KY 40506
444 S Main St
Ste A
Madisonville, KY 42431
Phone (270) 417-7800
519 Ruby Dr
Madisonville, KY 42431
1000 Breckenridge St
Ste 101
Owensboro, KY 42303
Phone (270) 417-7500
1000 Breckenridge St
Ste 201
Owensboro, KY 42303
Phone (270) 688-3445
1000 Breckenridge St
Ste 205
Owensboro, KY 42303
Phone (270) 688-3550
1008 FRD Ave
Owensboro, KY 42301
1201 Pleasant Valley Rd
#3
Owensboro, KY 42303
1201 Pleasant Valley Rd
#500B
Owensboro, KY 42303
1201 Pleasant Valley Rd
#7
Owensboro, KY 42303
1201 Pleasant Valley Rd
Fl 7
Owensboro, KY 42303
Phone (270) 417-4705
1201 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
1201 Pleasant Valley Rd
Ste 7
Owensboro, KY 42303
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Russell S Ranallo | Corporate Officer | Jan 1, 2005 | |
| W-2 Managing Employee | Jan 1, 2005 | ||
| Deborah Bostic | Corporate Officer | Mar 1, 2016 | |
| W-2 Managing Employee | Mar 1, 2016 | ||
| Jeffrey Thomas | Corporate Officer | Aug 2, 2021 | |
| W-2 Managing Employee | Aug 2, 2021 | ||
| Mia Suter | W-2 Managing Employee | Aug 14, 2000 | |
| Mark a Marsh | Corporate Officer | Jun 7, 2021 | |
| W-2 Managing Employee | Jun 7, 2021 | ||
| Ernest Begley | Corporate Officer | Jan 7, 2008 | |
| Francis J. Dufrayne | Corporate Officer | Sep 1, 2015 | |
| W-2 Managing Employee | Sep 1, 2015 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Gastroenterology Physician
- Owensboro, KY
- NPI 1144314014
Corporate Officer, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 380
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.
-
- Primary Care Nurse Practitioner
- Tell City, IN
- NPI 1275201113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766016000000",
"number": "1376594242",
"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": "2211 MAYFAIR DR STE 101",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "42301",
"telephone_number": "270-688-1352",
"fax_number": "270-683-4313"
}
],
"practiceLocations": [
{
"address_1": "421 7th St",
"address_purpose": "LOCATION",
"city": "Tell City",
"state": "IN",
"postal_code": "475862202",
"country_code": "US",
"telephone_number": "812-395-2011",
"fax_number": "812-395-2012",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Breckenridge St Ste 303",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423030877",
"country_code": "US",
"telephone_number": "270-688-5100",
"fax_number": "270-688-5109",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Pleasant Valley Rd",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423039811",
"country_code": "US",
"telephone_number": "270-417-4813",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2211 Mayfair Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423014569",
"country_code": "US",
"telephone_number": "270-688-1351",
"fax_number": "270-683-3420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 Pleasant Valley Rd Ste 404",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423039774",
"country_code": "US",
"telephone_number": "270-417-7515",
"fax_number": "270-417-7699",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "444 S Main St",
"address_purpose": "LOCATION",
"city": "Madisonville",
"state": "KY",
"postal_code": "424312846",
"country_code": "US",
"telephone_number": "270-821-4444",
"fax_number": "270-821-9188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "811 E Parrish Ave",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423033258",
"country_code": "US",
"telephone_number": "270-688-5100",
"fax_number": "270-688-5109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OWENSBORO HEALTH MEDICAL GROUP, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OWENSBORO HEALTH INC",
"enumeration_date": "2006-05-15",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A",
"authorized_official_last_name": "PENNINGTON",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CRED SPECIALIST",
"authorized_official_telephone_number": "270-691-8070"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KY",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Owensboro Health Medical Group - EKG Professional Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Owensboro Health Medical Group - Family Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Owensboro Health Medical Group - Hospitalists",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Owensboro Health Medical Group - MultiCare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Owensboro Health Medical Group - Occupational Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Owensboro Health Medical Group - Rheumatology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Owensboro Health Medical Group - Rheumatology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Owensboro Health Medical Group - Urgent Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Owensboro Health Pulmonology and Sleep Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Owensboro, KY
- Owensboro Health Medical Group, Inc (Owensboro Health Medical Group - Orthopedics & Sports Medicine)
- Owensboro Health Medical Group, Inc (Owensboro Health Diabetes and Endocrinology)
- Owensboro Health Medical Group, Inc (Owensboro Health Wound Center-Owensboro)
- Owensboro Health Medical Group, Inc (InBalance Diabetes Education Program)
- Owensboro Health Medical Group, Inc (Owensboro Health Medical Group - Surgical Specialists)
- Owensboro Health Medical Group, Inc (Owensboro Health Cardiothoracic Surgery)
- Owensboro Health Medical Group, Inc (Owensboro Health Medical Group - Infectious Disease)
- Owensboro Health Medical Group, Inc
- Owensboro Health Medical Group, Inc (Owensboro Health Neurology)
- Owensboro Health Medical Group, Inc (Owensboro Heatlh Medical Group Ear Nose and Throat - Owensboro)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.