OrganizationActive
Island Medical Sp LLC
NPI 1295080869 · Emergency Medicine Physician · Monroe, LA
Provider details
- NPI number
- 1295080869
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Charley, Chief Legal Officer(240) 686-2300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
309 Jackson St
Monroe, LA 71201-7407
Phone: (406) 862-3002
Street-level locationGet directions
Mailing address
12420 Milestone Center Dr Ste 200
Germantown, MD 20876-7111
Other names (DBA / former)
- Other name
- Island Medical Sp, Llc-Monroe
Registry dates
- Enumerated
- 2012-07-19
- Last updated
- 2020-06-03
- Certified
- 2020-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.