Organization Active NPI

Owensboro Health Medical Group, Inc

Doing business as Owensboro Health Medical Group - EKG Professional Services

  • Family Medicine Physician
  • Owensboro, KY
National Provider Identifier
1376594242
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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 - Hospitalists5 more in Other names
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
OWENSBORO HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X KY
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X KY Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X KY
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X KY
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X KY
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X KY
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X KY
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X KY
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X KY
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X KY
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X KY
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 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 8

  • 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN3 enrollments

Enrollment records 3

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

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
CorporationNon-profit
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).

Other NPIs on the same Medicare enrollment 7

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

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.

NameRoleSinceShare
Russell S Ranallo Individual Corporate OfficerVP Financial Services Jan 1, 2005
W-2 Managing EmployeeVP Financial Services Jan 1, 2005
Deborah Bostic Individual Corporate OfficerChief Nursing Officer Mar 1, 2016
W-2 Managing EmployeeChief Nursing Officer Mar 1, 2016
Jeffrey Thomas Individual Corporate OfficerCfo Aug 2, 2021
W-2 Managing EmployeeCfo Aug 2, 2021
Mia Suter Individual W-2 Managing EmployeeChief Administrative Officer Aug 14, 2000
Mark a Marsh Individual Corporate OfficerPresident and Ceo Jun 7, 2021
W-2 Managing EmployeePresident and Ceo Jun 7, 2021
Ernest Begley Individual Corporate OfficerChief Legal Officer Jan 7, 2008
Francis J. Dufrayne Individual Corporate OfficerChief Medical Offier Sep 1, 2015
W-2 Managing EmployeeChief Medical Officer 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.

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.

View all 380

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

Sources for this page

Verify at the official NPI Registry.