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OWENSBORO HEALTH MEDICAL GROUP INTERNAL MEDICINE - LEITCHFIELD
NPI 1285230557
Internal Medicine in Leitchfield, KY

Active since December 10, 2020CLIA 18D0327109 · Waiver
912 WALLACE AVE STE 101, LEITCHFIELD, KY 42754(270) 259-9316 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2022, Jul 13, 2022, May 4, 2022 and 2 more (5 updates tracked since 2020).

About Owensboro Health Medical Group Internal Medicine - Leitchfield NPPES

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

OWENSBORO HEALTH MEDICAL GROUP INTERNAL MEDICINE - LEITCHFIELD (NPI 1285230557) is a healthcare organization registered as an internal medicine in Leitchfield, Kentucky and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Russell S. Ranallo, Cfo, as its authorized official.

NPPES Registry Identity

NPI1285230557
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOWENSBORO HEALTH MEDICAL GROUP, INC
Location Address912 WALLACE AVE STE 101Leitchfield, KY 42754-2405
Mailing AddressPo Box 23229Owensboro, KY 42304-3229
Phone(270) 259-9316
Organization SubpartYesParent: Owensboro Health, Inc
Authorized OfficialRussell S. RanalloCfo · (270) 685-7180
Enumeration DateDecember 10, 2020
Last NPPES UpdateDecember 7, 20225 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1285230557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
912 WALLACE AVE STE 101, Leitchfield, KY 42754
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Other Names 1

Doing Business AsOwensboro Health Medical Group Internal Medicine - Leitchfield

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 18D0327109

Owensboro Health Medical Group - Internal Medicine · Leitchfield, KY
Active · expires Jan 2, 2028
CLIA Number18D0327109
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorMr. Clay Vincent
Laboratory Phone(270) 259-9316
Laboratory LocationOwensboro Health Medical Group - Internal Medicine912 Wallace Avenue Suite 101, Leitchfield, KY 42754
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

AAYUSHMA SHAH MD
Internal Medicine
912 WALLACE AVE STE 101
LEITCHFIELD, KY 42754
Grayson County (270) 259-9316

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 1285230557. It was assigned to this organization in the NPPES registry on December 10, 2020. The provider is doing business as Owensboro Health Medical Group Internal Medicine - Leitchfield.

Where is Owensboro Health Medical Group, Inc located?

Owensboro Health Medical Group, Inc is located at 912 Wallace Ave Ste 101, Leitchfield, KY 42754. The listed phone number is (270) 259-9316.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Owensboro Health Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0327109) is associated with this NPI, valid through January 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Owensboro Health Medical Group, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Owensboro Health Medical Group, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Owensboro Health Medical Group, Inc was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.