Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Owensboro Health Medical Group, Inc

Organization Surgery Physician · NPI 1154745412

Owensboro Health Medical Group, Inc provides Surgery Physician services in Beaver Dam, Kentucky. Licensed in Kentucky. Registered with an NPI since 2014.

Licensed in
KY
In the registry since
2014
Specialties on file
2
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

1307 N Main St
Beaver Dam, KY 42320-8957
Phone: (270) 274-5602
Fax: (270) 274-5612
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Surgery Physician Taxonomy 208600000X (KY)

Record details

NPI number1154745412
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOwensboro Health, Inc
Authorized official Russell Ranallo — Secretary · (270) 417-4813
Other names Owensboro Health Wound Center-Ohio County; Owensboro Health Wound Center-Ohio County
NPI enumeratedFebruary 6, 2014
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022
Mailing addressPo Box 23229, Owensboro, KY 42304-3229