OWENSBORO HEALTH MEDICAL GROUP, INC
NPI 1487047635
General Practice in Owensboro, KY

NPI Status: Active since March 12, 2015

Contact Information

1201 PLEASANT VALLEY RD
OWENSBORO, KY
ZIP 42303
Phone: (270) 688-1330

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  • Organization
  • General Practice
  • CLIA Number: 18D2030298
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-25-2025

About OWENSBORO HEALTH MEDICAL GROUP, INC

This page provides the complete NPI Profile along with additional information for Owensboro Health Medical Group, Inc, a primary care provider established in Owensboro, Kentucky operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1487047635 assigned on March 2015. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Owensboro Health Medical Group, Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is John T Hackbarth Jr. (Secretary)

NPI
1487047635
Provider Name
OWENSBORO HEALTH MEDICAL GROUP, INC
Entity Type
Organization
Location Address
1201 PLEASANT VALLEY RD OWENSBORO, KY 42303
Location Phone
(270) 688-1330
Mailing Address
1201 PLEASANT VALLEY RD OWENSBORO, KY 42303
Mailing Phone
(270) 688-1330
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-12-2015
Last Update Date
03-12-2015
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A primary care provider (PCP) like Owensboro Health Medical Group, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License State
KY
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN T HACKBARTH JR.

Authorized Official Title
SECRETARY
Authorized Official Phone
(270) 417-4813

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2030298
Facility Type
Physician Office
Certificate Effective Date
September 26, 2023
Certificate Expiration Date
September 25, 2025
Laboratory Director
DR. JENNIFER TUCK-CHAPPILL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Owensboro Health Medical Group, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487047635
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24167041466
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 0 + 4 + 1 + 4 + 6 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1487047635 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164718037 JOSEPH HAMPTON CRNA
Individual
Nurse Anesthetist, Certified Registered1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(270) 417-2000
1710352570NORTHSTAR ANESTHESIA
Organization
General Acute Care Hospital1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(270) 417-2000
1487029633MRS. LISA MICHELLE GAMMENTHALER CRNA
Individual
Nurse Anesthetist, Certified Registered1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(270) 417-2000
1750746848MRS. MICHELLE RUTH ROBERTS MSN ANESTHESIA
Individual
Nurse Anesthetist, Certified Registered1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(214) 687-0001
1336504208 JOHN MATTHEW FANT
Individual
Nurse Anesthetist, Certified Registered1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(270) 417-2000
1306102769DR. BENJAMIN THOMAS CUNNINGHAM M.D.
Individual
Emergency Medicine1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(502) 417-3791
1285814400DR. MELANIE TIRRONEN FARRELL M.D.
Individual
Internal Medicine (Hospice and Palliative Medicine)1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(270) 417-4750
1184919656DR. BRENT JOSEPH HAYDEN M.D.
Individual
Internal Medicine1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(270) 417-4700
1720446115 MATTHEW C JOHNSON APRN
Individual
Nurse Practitioner (Family)1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(270) 417-4700
1568826212OLYMPIA EMERGENCY PHYSICIANS, PLLC
Organization
Emergency Medicine1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(469) 401-2386
1407919954DR. ERIC J EX MD
Individual
Pediatrics1201 PLEASANT VALLEY RD 7TH FLOOR
OWENSBORO, KY 42303
(270) 417-4705
1609215078DR. ANTONINO CAVATAIO M.D.
Individual
Internal Medicine1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(270) 417-4700
1508313396 CORY PREWITT CRNA
Individual
Nurse Anesthetist, Certified Registered1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(270) 417-2000
1245695592 LISA A SCHELLER APRN, CRNA
Individual
Nurse Anesthetist, Certified Registered1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(270) 417-2000
1215478268 JENNIFER KWOK
Individual
Pharmacist1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(270) 417-6756
1154767176 HEATHER J. JOHNSON MD
Individual
Pediatrics1201 PLEASANT VALLEY RD 7TH FLOOR
OWENSBORO, KY 42303
(270) 417-4705
1861753618DR. JESSE LEE MILLER MD
Individual
Anesthesiology1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(270) 417-2000
1225552193 JAMES B JONES PA
Individual
Physician Assistant1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(270) 417-5911
1265844286 LOMAN COLLIN TROVER MD
Individual
Anesthesiology1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(270) 417-2000
1851535918 JANKI A. PATEL MD
Individual
Internal Medicine1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
(270) 417-4700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487047635, enumerated in the NPI registry as an "organization" on March 12, 2015

The provider is located at 1201 Pleasant Valley Rd Owensboro, Ky 42303 and the phone number is (270) 688-1330

This medical organization specializes in General Practice with taxonomy code 208D00000X

The provider's CLIA number is 18D2030298 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 12, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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