OWENSBORO HEALTH MEDICAL GROUP, INC (NPI# 1033522271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033522271 |
| Entity Type | Organization |
| Organization Name | OWENSBORO HEALTH MEDICAL GROUP, INC |
| Other Organization Name | OWENSBORO HEALTH PLASTIC SURGERY AND DERMATOLOGY |
| Practice Address |
2915 New Hartford Rd Owensboro KY 42303 |
| Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
| Practice Telephone | 2706883700 |
| Practice Fax Number | 2706883709 |
| Mailing Telephone | 2706881330 |
| Mailing Fax Number | 2706881338 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2019-06-26 |
| 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 | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
KY | Allopathic & Osteopathic Physicians | |
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208200000X | Plastic Surgery | KY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Owensboro Health Medical Group - Plastic and Reconstructive Surgery | Doing Business As Name - Organization |
| Owensboro Health Plastic Surgery and Dermatology | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Breckenridge St, Suite 303, Owensboro, KY 423030839 | 2706883700 | 2706883709 |
| 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 |
2915 NEW HARTFORD RD |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265773089 | Jennifer Beth Neely | Nurse Practitioner | 2915 New Hartford Rd, Owensboro, KY 42303-1323 | 2013-03-04 |
| 1932598117 | Jaime Gish | Nurse Practitioner | 2915 New Hartford Rd, Owensboro, KY 42303-1323 | 2015-01-12 |
| 1275973919 | Advanced Dermatotlogy Associates, Psc | Dermatology | 2915 New Hartford Rd, Owensboro, KY 42303-1323 | 2013-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558779009 | Owensboro Health Medical Group, Inc | Plastic Surgery | 2211 Mayfair Dr, Suite 305, Owensboro, KY 42301-4568 | 2014-07-29 |
| 1508192162 | Gerald G. Edds Psc | Plastic Surgery | 2835 Farrell Cres, Owensboro, KY 42303-1393 | 2009-11-02 |
| 1992951412 | Zachariah J Barnes | Plastic Surgery | 1000 Breckenridge St Ste 303, Owensboro, KY 42303-0877 | 2008-08-15 |
| 1689839953 | Janae L Kittinger | Plastic Surgery | 1000 Breckenridge St, Suite 303, Owensboro, KY 42303-0839 | 2008-07-25 |
| 1942427380 | James Elliott Tidwell IIi | Plastic Surgery | 1000 Breckenridge St, Suite 303, Owensboro, KY 42303-0839 | 2007-04-19 |
| 1568503852 | Gerald G. Edds | Plastic Surgery | 2835 Farrell Cres, Owensboro, KY 42303-1393 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235544602 | Ashley Boustany | Plastic Surgery | University of Ky 800 Rose St, Lexington, KY 40536-0001 | 2014-06-24 |
| 1952720880 | Commonwealth Plastic Surgery, Pllc | Plastic Surgery | 715 Shaker Dr Ste 100, Lexington, KY 40504-3674 | 2014-04-08 |
| 1366885675 | Morgan Brgoch | Plastic Surgery | Uk Surgery Clinic - Plastic Surgery, 740 S Limestone Ste E101, Lexington, KY 40536-0284 | 2013-04-17 |
| 1861752909 | Frank Ryan Wermeling | Plastic Surgery | 4001 Kresge Way Ste 220, Louisville, KY 40207-4640 | 2012-05-23 |
| 1578879300 | Anil Duggal | Plastic Surgery | 740 S Limestone St E101, Lexington, KY 40536-4412 | 2010-08-31 |
| 1518287044 | Sonata Plastic Surgery, Pllc | Plastic Surgery | 3260 Blazer Pkwy, Suite 102, Lexington, KY 40509-2116 | 2010-06-07 |
| 1982924817 | Ashley Rawson Kerekes | Plastic Surgery | 511 Robinbrooke Blvd, Suite 100, Elizabethtown, KY 42701-5904 | 2010-06-02 |
| 1245464387 | John Bradley Turner | Plastic Surgery | 3288 Eagle View Ln, Suite 300, Lexington, KY 40509-9020 | 2009-05-04 |
| 1164688909 | Stephen Alexander Schantz | Plastic Surgery | 3288 Eagle View Ln Ste 300, Lexington, KY 40509-9019 | 2008-07-31 |
| 1144492638 | Theodore L. Gerstle | Plastic Surgery | 3363 Tates Creek Rd Ste 209, Lexington, KY 40502 | 2008-03-25 |
| Find all providers with the same taxonomy | ||||
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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.