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OWENSBORO HEALTH MEDICAL GROUP - UROLOGY
NPI 1770210387
Urology in Madisonville, KY

Active since August 03, 2022CLIA 18D1090275 · Microscopy
444 S MAIN ST # A, MADISONVILLE, KY 42431(270) 417-7880(270) 417-7888 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2023, Aug 3, 2022 (2 updates tracked since 2022).

About Owensboro Health Medical Group - Urology NPPES

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

OWENSBORO HEALTH MEDICAL GROUP - UROLOGY (NPI 1770210387) is a healthcare organization registered as an urology in Madisonville, Kentucky and active in the NPI registry since August 2022. The organization holds a CLIA Microscopy certificate valid through April 3, 2028 and lists Russell S. Ranallo, Cfo, as its authorized official.

NPPES Registry Identity

NPI1770210387
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameOWENSBORO HEALTH MEDICAL GROUP, INC.
Location Address444 S MAIN ST # AMadisonville, KY 42431-2846
Mailing AddressPo Box 23229Owensboro, KY 42304-3229 · (270) 688-1330 · Fax (270) 688-1338
Phone(270) 417-7880
Fax(270) 417-7888
Organization SubpartYesParent: Owensboro Health, Inc
Authorized OfficialRussell S. RanalloCfo · (270) 685-7180
Enumeration DateAugust 3, 2022
Last NPPES UpdateMarch 21, 20232 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
✔ NPI 1770210387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
444 S MAIN ST # A, Madisonville, KY 42431
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Other Names 1

Doing Business AsOwensboro Health Medical Group - Urology

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 for Provider-Performed Microscopy Procedures (PPMP) 18D1090275

Owensboro Health Urology · Owensboro, KY
Active · expires Apr 3, 2028
CLIA Number18D1090275
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorDr. Corey M. Johnson
Laboratory Phone(270) 417-7880
Laboratory LocationOwensboro Health Urology1301 Pleasant Valley Road Suite 302, Owensboro, KY 42303
CLIA data matches this NPI record on: Phone
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.

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 1770210387. It was assigned to this organization in the NPPES registry on August 3, 2022. The provider is doing business as Owensboro Health Medical Group - Urology.

Where is Owensboro Health Medical Group, Inc. located?

Owensboro Health Medical Group, Inc. is located at 444 S Main St # A, Madisonville, KY 42431. The listed phone number is (270) 417-7880.

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

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 18D1090275) is associated with this NPI, valid through April 3, 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 March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.