OWENSBORO HEALTH MEDICAL GROUP INC (NPI# 1043604168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043604168 |
| Entity Type | Organization |
| Organization Name | OWENSBORO HEALTH MEDICAL GROUP INC |
| Other Organization Name | OWENSBORO HEALTH MEDICAL GROUP - PAIN MANAGEMENT |
| Practice Address |
1000 Breckenridge St Suite 205 Owensboro KY 42303-0839 |
| Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
| Practice Telephone | 2706883550 |
| Practice Fax Number | 2706883559 |
| Mailing Telephone | 2706881330 |
| Mailing Fax Number | 2706881338 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2018-01-03 |
| 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 | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
KY | Allopathic & Osteopathic Physicians | |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
KY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Owensboro Health Medical Group - Pain Management | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992292288 | Owensboro Health Medical Group Inc | Physician Assistant | 2235 Mayfair Dr, Owensboro, KY 42301-4519 | 2018-04-23 |
| 1891158119 | Owensboro Health Medical Group Inc | Physician Assistant | 420 Hopkinsville St, Greenville, KY 42345-1102 | 2016-04-04 |
| 1568824506 | Owensboro Health Medical Group Inc | Pediatrics | 1201 Pleasant Valley Road, Owensboro, KY 42304-0007 | 2016-03-28 |
| 1477914927 | Owensboro Health Medical Group Inc | Social Worker | 2401 New Hartford Rd, Owensboro, KY 42303-1312 | 2016-03-11 |
| 1316314602 | Owensboro Health Medical Group Inc | Family Medicine | 559 Main St, Rockport, IN 47635-1451 | 2015-08-21 |
| 1649652249 | Owensboro Health Medical Group Inc | Nurse Practitioner | 1871 Us Highway 41a S, Dixon, KY 42409-9448 | 2015-06-19 |
| 1891177556 | Owensboro Health Medical Group Inc | Otolaryngology | 1501 S Dixie St, Horse Cave, KY 42749-1480 | 2015-06-18 |
| 1770963613 | Owensboro Health Medical Group Inc | Nurse Practitioner | 1020 Breckenridge St, Owensboro, KY 42303-0803 | 2015-06-05 |
| 1336529494 | Owensboro Health Medical Group Inc | Internal Medicine | 1000 Breckenridge St, Suite 400, Owensboro, KY 42303-0839 | 2015-06-04 |
| 1457731515 | Owensboro Health Medical Group Inc | Physician Assistant | 1325 Triplett St # A, Owensboro, KY 42303 | 2015-06-04 |
| Street Address |
1000 BRECKENRIDGE ST SUITE 205 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-0839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972346 | Tristan Sta.elena Briones | Radiology | 1000 Breckenridge St, Suite 203, Owensboro, KY 42303-0839 | 2005-06-17 |
| 1659741056 | Tisha L Higgs | Nurse Practitioner | 1000 Breckenridge St, Suite 401, Owensboro, KY 42303-0839 | 2015-09-29 |
| 1336529494 | Owensboro Health Medical Group Inc | Internal Medicine | 1000 Breckenridge St, Suite 400, Owensboro, KY 42303-0839 | 2015-06-04 |
| 1558794537 | Owensboro Health Medical Group, Inc | General Practice | 1000 Breckenridge St, Suite 401, Owensboro, KY 42303-0839 | 2013-08-14 |
| 1154661569 | Owensboro Health Medical Group, Inc | Nurse Practitioner | 1000 Breckenridge St, Suite 300, Owensboro, KY 42303-0839 | 2013-02-21 |
| 1265798979 | Nicole Elizabeth Davis | Pediatrics | 1000 Breckenridge St, Suite 300, Owensboro, KY 42303-0839 | 2012-04-06 |
| 1609141589 | Sarah D. Osborne | Nurse Practitioner | 1000 Breckenridge St, Suite 300, Owensboro, KY 42303-0839 | 2012-03-12 |
| 1588960397 | Candace Brooke Dulabh | Physician Assistant | 1000 Breckenridge St, Suite 401, Owensboro, KY 42303-0839 | 2011-01-27 |
| 1417265836 | Lindie Lee Unsel | Nurse Practitioner | 1000 Breckenridge St, Suite 300, Owensboro, KY 42303-0839 | 2010-09-20 |
| 1497073530 | Jason Glenn Lee | Physical Medicine & Rehabilitation | 1000 Breckenridge St, Suite 302, Owensboro, KY 42303-0839 | 2010-05-13 |
| Find all providers in the same location | ||||
| 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 | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922186378 | Tri-state Advanced Pain Management Pllc | Pain Medicine | 3332 Villa Pt Ste 104, Owensboro, KY 42303-7818 | 2006-11-02 |
| 1477557270 | Suk Ki Kim | Pain Medicine | 3332 Villa Pt, Ste 104, Owensboro, KY 42303-7818 | 2005-06-09 |
| 1699242107 | Pain Management Centers of America, Psc | Pain Medicine | 3332 Villa Pt Ste 104, Owensboro, KY 42303-7818 | 2018-11-01 |
| 1255838215 | Advanced Pain Care Clinic Psc | Pain Medicine | 2200 E Parrish Ave Bldg C, Owensboro, KY 42303-1449 | 2018-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1346766441 | Integrated Pain Management of Kentucky LLC | Pain Medicine | 210 Thomas More Pkwy Ste B, Crestview Hills, KY 41017-3429 | 2017-08-21 |
| 1578981718 | Restore Rehabilitation | Pain Medicine | 6400 Dutchmans Pkwy Ste 80, Louisville, KY 40205-3340 | 2014-04-04 |
| 1508201898 | Center for Pain Management | Pain Medicine | 440 B High St, Bowling Green, KY 42101 | 2013-05-01 |
| 1689994154 | Cumberland Brain and Spine, Pllc | Pain Medicine | 1641 Scottsville Rd, Bowling Green, KY 42104-3244 | 2010-06-08 |
| 1235358243 | Gary L Reasor, Md P.s.c | Pain Medicine | 4121 Dutchmans Ln Ste 606, Louisville, KY 40207-4725 | 2007-04-25 |
| 1407995517 | Cassari Pain Treatment Center Inc | Pain Medicine | 4010 Dupont Circle #430, Louisville, KY 40207 | 2007-02-05 |
| 1164518080 | David P Bosomworth II | Pain Medicine | 279 Kings Daughters Dr Ste 100, Frankfort, KY 40601 | 2006-10-05 |
| 1639263338 | Bluegrass Pain Management, Psc | Pain Medicine | 1760 Nicholasville Road, Suite 503, Lexington, KY 40503 | 2006-10-03 |
| 1265525653 | Bill Walker Haney | Pain Medicine | 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205-3341 | 2006-09-30 |
| 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.