Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Owensboro Health Medical Group, Inc

Organization Sports Medicine (Family Medicine) Physician · NPI 1154738987

Owensboro Health Medical Group, Inc is a Sports Medicine (Family Medicine) Physician in Owensboro, Kentucky. Works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2014
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1301 Pleasant Valley Rd Ste 500B
Owensboro, KY 42303-9774
Phone: (270) 417-7940
Fax: (270) 417-7949
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1006 Ford Ave, Owensboro, KY 42301-4677 — (270) 417-7950

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Orthopaedic Surgery Physician Taxonomy 207X00000X (KY)
Surgical Physician Assistant Taxonomy 363AS0400X (KY)
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1154738987
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOwensboro Health, Inc
Authorized official Russell Ranallo — Secretary · (270) 417-4813
Other names Owensboro Health Medical Group - Orthopedics & Sports Medicine
NPI enumeratedJuly 14, 2014
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022
Mailing addressPo Box 23229, Owensboro, KY 42304-3229

Other providers in Owensboro