OWENSBORO HEALTH MEDICAL GROUP, INC
NPI 1093301624
Family Medicine in Leitchfield, KY

Active since December 17, 2020CLIA Certified · 3 labs
908 WALLACE AVE, LEITCHFIELD, KY 42754(270) 200-4510 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Owensboro Health Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OWENSBORO HEALTH MEDICAL GROUP, INC (NPI 1093301624), doing business as Owensboro Health Medical Group-family And Sports Medicine, is a healthcare organization registered as a family medicine in Leitchfield, Kentucky and active in the NPI registry since December 2020. The organization holds 3 active CLIA laboratory certificates and lists John T Hackbarth, Secretary, as its authorized official.

NPPES Registry Identity

NPI1093301624
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOWENSBORO HEALTH MEDICAL GROUP, INC
Location Address908 WALLACE AVELeitchfield, KY 42754-1479
Mailing AddressPo Box 23229Owensboro, KY 42304-3229
Organization SubpartYesParent: Owensboro Health, Inc
Authorized OfficialJohn T HackbarthSecretary · (270) 417-4813
Enumeration DateDecember 17, 2020
NPPES CertifiedDecember 15, 2020
NPI 1093301624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
908 WALLACE AVE, Leitchfield, KY 42754

Other Names 1

Doing Business AsOwensboro Health Medical Group-family And Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D1053726

Owensboro Health Medical Group - Obstetrics And Gynecology · Leitchfield, KY
Active · expires May 2, 2028
CLIA Number18D1053726
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorMr. Mark J. Lee
Laboratory Phone(270) 259-9415
Laboratory LocationOwensboro Health Medical Group - Obstetrics And Gynecology910 Wallace Avenue, Suite 302, Leitchfield, KY 42754
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 18D2319711

Owensboro Health Medical Group Urology · Leitchfield, KY
Active · expires Mar 5, 2027
CLIA Number18D2319711
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorDr. Robert D. Andersen
Laboratory Phone(270) 417-7443
Laboratory LocationOwensboro Health Medical Group Urology910 Wallace Ave Suite 206, Leitchfield, KY 42754
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2013352

Owensboro Health Medical Group - Urgent Care · Leitchfield, KY
Active · expires Sep 19, 2026
CLIA Number18D2013352
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorMs. Stacey Wilt
Laboratory Phone(270) 259-1626
Laboratory LocationOwensboro Health Medical Group - Urgent Care1895 Elizabethtown Road, Leitchfield, KY 42754
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Sports Medicine)
908 WALLACE AVE
LEITCHFIELD, KY 42754
Nurse Practitioner
908 WALLACE AVE
LEITCHFIELD, KY 42754
Internal Medicine
908 WALLACE AVE, SUITE 203
LEITCHFIELD, KY 42754
Orthopaedic Surgery
908 WALLACE AVE
LEITCHFIELD, KY 42754
Pediatrics
908 WALLACE AVE, SUITE 108
LEITCHFIELD, KY 42754
Nurse Practitioner (Family)
908 WALLACE AVE
LEITCHFIELD, KY 42754
Pharmacist
908 WALLACE AVE, SUITE 105, MIDWAY PHARMACY
LEITCHFIELD, KY 42754
Nurse Practitioner (Family)
908 WALLACE AVE
LEITCHFIELD, KY 42754

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Owensboro Health Medical Group, Inc's NPI number?

The NPI number for Owensboro Health Medical Group, Inc is 1093301624. It was assigned to this organization in the NPPES registry on December 17, 2020. The provider is doing business as Owensboro Health Medical Group-Family and Sports Medicine.

Where is Owensboro Health Medical Group, Inc located?

Owensboro Health Medical Group, Inc is located at 908 Wallace Ave, Leitchfield, KY 42754. The listed phone number is (270) 200-4510.

What is Owensboro Health Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Owensboro Health Medical Group, Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Owensboro Health Medical Group, Inc was last updated on December 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.