# OWENSBORO HEALTH MEDICAL GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OWENSBORO HEALTH INC
- **Other names:** Owensboro Health Outpatient Imaging, Owensboro Health Hematology and Oncology, Owensboro Health Medical Group - Orthopedics & Sports Medicine, Owensboro Health Cardiology, Owensboro Health Radiation Therapy, Owensboro Health Medical Group - Obstetrics and Gynecology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780841361
- **Legal business name:** OWENSBORO HEALTH INC
- **Authorized official:** RUSSELL S RANALLO (SECRETARY)
- **Authorized official phone:** (270) 685-7180

## Contact information

- **Practice address:** 1301 PLEASANT VALLEY RD STE 202, OWENSBORO, KY 42303
- **Practice address phone:** (270) 417-7500
- **Practice address fax:** (270) 417-7509
- **Mailing address:** 1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9619
- **Mailing address phone:** (270) 417-4813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | KY | — |
| 207RI0011X | Interventional Cardiology Physician | — | KY | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | KY | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363A00000X | Physician Assistant | — | KY | — |
| 363AM0700X | Medical Physician Assistant | — | KY | — |
| 363AS0400X | Surgical Physician Assistant | — | KY | — |
| 363L00000X | Nurse Practitioner | — | KY | — |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | — | NULL | — |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/21/2008
- **Last updated:** 04/25/2025
