OWENSBORO HEALTH MEDICAL GROUP, INC (NPI# 1013353101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013353101 |
Entity Type | Organization |
Organization Name | OWENSBORO HEALTH MEDICAL GROUP, INC |
Other Organization Name | OWENSBORO HEALTH MEDICAL GROUP - BEHAVIORAL HEALTH |
Practice Address |
2211 Mayfair Dr Suite 409 Owensboro KY 42301 |
Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
Practice Telephone | 2704177980 |
Practice Fax Number | 2704177989 |
Mailing Telephone | 2706881330 |
Mailing Fax Number | 2706881338 |
Enumeration Date | 2013-05-15 |
Last Update Date | 2018-08-20 |
Authorized Official Name | JOHN T HACKBARTH JR. (SECRETARY) |
Authorized Official Telephone | 2704174813 |
Is Organization Subpart | Y |
Parent Organization Name | OWENSBORO HEALTH, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Owensboro Health Medical Group - Behavioral Health | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1201 Pleasant Valley Rd, Owensboro, KY 423039811 | 2704173772 | 2704173709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760905616 | Owensboro Health Medical Group, Inc | Clinic/Center | 2801 Unifirst Dr, Owensboro, KY 42301-7701 | 2017-07-24 |
1942690250 | Owensboro Health Medical Group, Inc | Family Medicine | 2315 Mayfair Dr Ste 14, Owensboro, KY 42301-4557 | 2015-01-26 |
1154746600 | Owensboro Health Medical Group, Inc | Internal Medicine | 811 E Parrish Ave Ste 101, Owensboro, KY 42303-3258 | 2014-02-20 |
1376594242 | Owensboro Health Medical Group, Inc | Emergency Medicine | 2211 Mayfair Dr Ste 101, Owensboro, KY 42301 | 2006-05-15 |
1285164491 | Owensboro Health Medical Group, Inc | Registered Nurse | 1006 Ford Ave, Owensboro, KY 42301-4677 | 2017-06-20 |
1134668916 | Owensboro Health Medical Group, Inc | Registered Nurse | 1006 Ford Ave, Owensboro, KY 42301-4677 | 2017-02-14 |
1710357132 | Owensboro Health Medical Group, Inc | Nurse Practitioner | 145 E 2nd St, Calhoun, KY 42327-2205 | 2015-09-28 |
1487047635 | Owensboro Health Medical Group, Inc | General Practice | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 | 2015-03-12 |
1558779009 | Owensboro Health Medical Group, Inc | Plastic Surgery | 2211 Mayfair Dr, Suite 305, Owensboro, KY 42301-4568 | 2014-07-29 |
1154738987 | Owensboro Health Medical Group, Inc | Family Medicine | 1301 Pleasant Valley Rd, Suite 500b, Owensboro, KY 42303-9774 | 2014-07-14 |
Street Address |
2211 MAYFAIR DR SUITE 409 |
City | OWENSBORO |
State | KY |
Zip Code | 42301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770589970 | Elizabeth Hawkins Ottman | Obstetrics & Gynecology | 2211 Mayfair Dr, Ste 301, Owensboro, KY 42301-4569 | 2005-06-22 |
1518326990 | Owensboro Health Medical Group, Inc. | Nurse Practitioner | 2211 Mayfair Dr, Suite 305, Owensboro, KY 42301-4568 | 2016-02-15 |
1669863585 | Whitney Dawn Peay | Counselor | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2015-02-13 |
1558779009 | Owensboro Health Medical Group, Inc | Plastic Surgery | 2211 Mayfair Dr, Suite 305, Owensboro, KY 42301-4568 | 2014-07-29 |
1932530029 | Stephanie M Decker | Social Worker | 2211 Mayfair Dr, Ste 409, Owensboro, KY 42301-4570 | 2013-11-27 |
1639517451 | Snehamala Veeravalli | Psychiatry & Neurology | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2013-06-14 |
1669739777 | Jin S. Amon | Psychiatry & Neurology | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2012-04-13 |
1699067074 | Associated Owensboro Urology | Urology | 2211 Mayfair Dr, Suite 401, Owensboro, KY 42301-4568 | 2011-05-04 |
1518258177 | Ohio County Hospital Corp Inc | Urology | 2211 Mayfair Dr, Suite 410, Owensboro, KY 42301-4568 | 2011-04-29 |
1164738951 | Kara D Meschko | Nurse Practitioner | 2211 Mayfair Dr, Suite 101, Owensboro, KY 42301-4568 | 2010-08-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
Find all providers in zip 42301 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972902526 | S. Montgomery Md & Associates Behavioral Healthcare | Psychiatry & Neurology | 620 Carlton Drive, Suite 101, Owensboro, KY 42303 | 2014-08-20 |
1023099975 | Debra Lynne Bunger | Psychiatry & Neurology | 1201 Pleasant Valley Rd, Owensboro, KY 42303-9811 | 2005-11-08 |
1356874200 | Raven R. Price | Psychiatry & Neurology | 2211 Mayfair Dr Ste 409, Owensboro, KY 42301-4570 | 2017-04-07 |
1336594563 | Naren T. Vellanki | Psychiatry & Neurology | 1201 Pleasant Valley Rd, Owensboro, KY 42303 | 2016-04-25 |
1205290319 | Jeramie Lynn Rosales Rodriguez | Psychiatry & Neurology | 1201 Pleasant Valley Rd, Owensboro, KY 42303 | 2016-04-06 |
1073909099 | Erik Rotterman | Psychiatry & Neurology | 1100 Walnut St, Owensboro, KY 42301-2956 | 2015-04-07 |
1639517451 | Snehamala Veeravalli | Psychiatry & Neurology | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2013-06-14 |
1669739777 | Jin S. Amon | Psychiatry & Neurology | 2211 Mayfair Dr, Suite 409, Owensboro, KY 42301-4568 | 2012-04-13 |
1700161056 | Acumen Counseling Services, Inc. | Psychiatry & Neurology | 1100 Walnut St, Owensboro, KY 42301-2956 | 2011-10-19 |
1902134711 | Brio Psychiatry Associates, Pllc | Psychiatry & Neurology | 1102 Triplett St, Suite 2100, Owensboro, KY 42303-3104 | 2009-12-07 |
Find all providers in OWENSBORO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.