OWENSBORO HEALTH MEDICAL GROUP, INC (NPI# 1154661569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154661569 |
| Entity Type | Organization |
| Organization Name | OWENSBORO HEALTH MEDICAL GROUP, INC |
| Other Organization Name | OWENSBORO HEALTH MEDICAL GROUP - CHILDREN'S CENTER |
| Practice Address |
1000 Breckenridge St Suite 300 Owensboro KY 42303-0839 |
| Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
| Practice Telephone | 2706884480 |
| Practice Fax Number | 2706884489 |
| Mailing Telephone | 2706918020 |
| Mailing Fax Number | 2706918026 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2018-01-03 |
| Authorized Official Name | JOHN T HACKBARTH JR. (SECRETARY) |
| Authorized Official Telephone | 2706918214 |
| Is Organization Subpart | Y |
| Parent Organization Name | OWENSBORO HEALTH, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
KY | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Owensboro Health Medical Group - Children's Center | Doing Business As Name - Organization |
| 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 |
1000 BRECKENRIDGE ST SUITE 300 |
| 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 |
| 1043604168 | Owensboro Health Medical Group Inc | Pain Medicine | 1000 Breckenridge St, Suite 205, Owensboro, KY 42303-0839 | 2015-03-26 |
| 1558794537 | Owensboro Health Medical Group, Inc | General Practice | 1000 Breckenridge St, Suite 401, Owensboro, KY 42303-0839 | 2013-08-14 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124160296 | John Martin Phillips II | Pediatrics | 1000 Breckenridge St Ste 300, Owensboro, KY 42303-0877 | 2007-02-13 |
| 1114912185 | David Edward Danhauer | Pediatrics | 4800 Hunters Ridge, Owensboro, KY 42303 | 2005-09-15 |
| 1003801986 | Amy Hayden Ray | Pediatrics | 2200 E. Parrish Ave, Bldg B, Ste 101, Owensboro, KY 42303-1449 | 2005-09-15 |
| 1568824506 | Owensboro Health Medical Group Inc | Pediatrics | 1201 Pleasant Valley Road, Owensboro, KY 42304-0007 | 2016-03-28 |
| 1154767176 | Heather J. Johnson | Pediatrics | 1201 Pleasant Valley Rd, 7th Floor, Owensboro, KY 42303-9811 | 2013-05-16 |
| 1265798979 | Nicole Elizabeth Davis | Pediatrics | 1000 Breckenridge St, Suite 300, Owensboro, KY 42303-0839 | 2012-04-06 |
| 1740575737 | Stephanie Downing Hayden | Pediatrics | 1000 Breckenridge St Ste 300, Owensboro, KY 42303-0877 | 2011-06-17 |
| 1811296742 | University Pediatric Gastroenterology, LLC | Pediatrics | 811 E Parrish Ave, Ste 120, Owensboro, KY 42303-3258 | 2011-03-17 |
| 1598085342 | Amit Kumar Dulabh | Pediatrics | 1000 Breckenridge St Ste 300, Owensboro, KY 42303-0877 | 2010-06-03 |
| 1174795066 | Jeremiah Robert Mason | Pediatrics | 2200 E Parrish Ave, Bldg B, Ste 101, Owensboro, KY 42303-1449 | 2008-03-31 |
| 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.