Active NPI
Owensboro Health Medical Group, Inc.
Doing business as Owensboro Health Muhlenberg Healthplex
- Family Medicine Physician
- Powderly, KY
National Provider Identifier
1770001877
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 Muhlenberg Healthplex
- Practice address
- 2025 W Everly Brothers Blvd Ste 1a
Powderly, KY 42367-5401 - Phone
- (270) 377-2600
- Fax
- (270) 377-2610
- NPI assigned
- Sep 8, 2017
- Last updated
- Jul 29, 2024
- 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
- Mr. Russell S Ranallo
- Title
- Secretary
- Phone
- (270) 417-4813
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Family Medicine Physician | 207Q00000X | KY | Primary | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | KY | ||
| Internal Medicine Physician | 207R00000X | KY | ||
| Cardiovascular Disease Physician | 207RC0000X | KY | ||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | KY | ||
| Interventional Cardiology Physician | 207RI0011X | KY | ||
| Orthopaedic Surgery Physician | 207X00000X | KY | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Diagnostic Radiology Physician | 2085R0202X | KY | ||
| Physician Assistant | 363A00000X | KY | ||
| Surgical Physician Assistant | 363AS0400X | KY | ||
| Family Nurse Practitioner | 363LF0000X | KY | ||
| Pediatric Nurse Practitioner | 363LP0200X |
Addresses
Primary practice location
2025 W Everly Brothers Blvd Ste 1a
Powderly, KY 42367-5401
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330
Other names 1
- Owensboro Health Muhlenberg Healthplex
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| 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
National Provider Directory- Part of
- Owensboro Health Outpatient
Locations
2025 W Everly Brothers Blvd
#1A
Powderly, KY 42367
2025 W Everly Brothers Blvd
Ste 2A
Powderly, KY 42367
Phone (270) 377-2590
Practitioners & affiliated clinicians
Practitioners 20
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.
-
- Family Nurse Practitioner
- Owensboro, KY
- NPI 1124772736
-
- Neonatal-Perinatal Medicine Physician
- Owensboro, KY
- NPI 1922017953
-
- Endocrinology, Diabetes & Metabolism Physician
- Owensboro, KY
- NPI 1972957157
-
- Family Nurse Practitioner
- Powderly, KY
- NPI 1851903405
-
- Family Nurse Practitioner
- Powderly, KY
- NPI 1093413510
-
- Foot & Ankle Surgery Podiatrist
- Madisonville, KY
- NPI 1962082040
-
- Family Nurse Practitioner
- Owensboro, KY
- NPI 1598484081
-
- Family Nurse Practitioner
- Madisonville, KY
- NPI 1477087963
-
- Physician Assistant
- Owensboro, KY
- NPI 1508620121
-
- Family Nurse Practitioner
- West Palm Beach, FL
- NPI 1225676901
-
- Neurological Surgery Physician
- Huntington, WV
- NPI 1023337961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722211200000",
"number": "1770001877",
"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": "2025 W EVERLY BROTHERS BLVD STE 1A",
"city": "POWDERLY",
"state": "KY",
"postal_code": "423675401",
"telephone_number": "270-377-2600",
"fax_number": "270-377-2610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OWENSBORO HEALTH MEDICAL GROUP, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OWENSBORO HEALTH, INC",
"enumeration_date": "2017-09-08",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"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": "270-417-4813",
"authorized_official_name_prefix": "Mr."
},
"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": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "KY",
"license": null,
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": "KY",
"license": null,
"primary": false
},
{
"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": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Owensboro Health Muhlenberg Healthplex",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Owensboro Health Muhlenberg Healthplex",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Powderly, KY
- Christopher Shawn Noffsinger, PT
- Oh Muhlenberg, LLC (Owensboro Health Ambulatory Surgery Center Muhlenberg)
- Oh Muhlenberg, LLC (Owensboro Health Muhlenberg Community Hospital Family Medicine)
- Oh Muhlenberg, LLC (Owensboro Health Muhlenberg Community Hospital Emergency Medical Servi)
- Owensboro Health Medical Group, Inc (Owensboro Health Muhlenberg Healthplex Laboratory)
- Nancy M Powell, ARNP
- Jane Hope Reed, APRN
- Sarah J. Renschler, RDN. LD
- Laurie Roberts, ARNP
- Brenda N Rogers, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.