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

Owensboro Health Medical Group, Inc

Organization Sports Medicine (Family Medicine) Physician · NPI 1548866072

Owensboro Health Medical Group, Inc provides Sports Medicine (Family Medicine) Physician services in Leitchfield, Kentucky. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
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

908 Wallace Ave Ste 109
Leitchfield, KY 42754-1479
Phone: (270) 230-0124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Podiatrist Taxonomy 213E00000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X

Record details

NPI number1548866072
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 And Sports Medicine; Owensboro Health Medical Group-Orthopedics And Sports Medicine
NPI enumeratedDecember 9, 2020
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing addressPo Box 23229, Owensboro, KY 42304-3229

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