Island Medical Henderson LLC
NPI 1619490778 · Emergency Medicine Physician · Henderson, KY
Island Medical Henderson LLC is a Emergency Medicine Physician organization in Henderson, KY (NPI 1619490778).
Provider details
- NPI number
- 1619490778
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michaelamy Charley, Chief Legal Officer(240) 686-2300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Registry dates
- Enumerated
- 2017-07-20
- Last updated
- 2020-06-03
- Certified
- 2020-06-03
Frequently asked questions
- What is Island Medical Henderson LLC's NPI number?
- Island Medical Henderson LLC's National Provider Identifier (NPI) is 1619490778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Island Medical Henderson LLC?
- Island Medical Henderson LLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Island Medical Henderson LLC located?
- Island Medical Henderson LLC's practice location on file with NPPES is 1305 N Elm St, Henderson, KY 42420-2783.
- What is Island Medical Henderson LLC's phone number?
- The practice phone number listed in the NPPES registry for Island Medical Henderson LLC is (406) 862-3002.
- Who is the authorized official for Island Medical Henderson LLC?
- The authorized official listed on Island Medical Henderson LLC's NPPES record is Michaelamy Charley, Chief Legal Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Island Medical Henderson LLC's NPI active?
- Yes — Island Medical Henderson LLC's NPI (1619490778) is active in the NPPES registry as of the last update on 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.