OrganizationActive
Peninsula Regional Medical Center
NPI 1003058629 · Family Medicine Physician · Chincoteague, VA
Provider details
- NPI number
- 1003058629
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donna Horner, Credentialing Coordinator(410) 543-7531
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6295 Teal Ln
Island Family Medicine
Chincoteague, VA 23336-2207
Phone: (757) 336-2200
Fax: (757) 336-2211
Street-level locationGet directions
Mailing address
100 E Carroll St
Salisbury, MD 21801
Other names (DBA / former)
- Other name
- Island Family Medicine
Registry dates
- Enumerated
- 2009-03-27
- Last updated
- 2009-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.