ISLAND MEDICAL HENDERSON LLC
NPI 1619490778
Emergency Medicine in Henderson, KY

NPI Status: Active since July 20, 2017

Contact Information

1305 N ELM ST
HENDERSON, KY
ZIP 42420
Phone: (406) 862-3002

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  • Organization
  • Emergency Medicine
  • Accepts Insurance

About ISLAND MEDICAL HENDERSON LLC

This page provides the complete NPI Profile along with additional information for Island Medical Henderson Llc, a provider established in Henderson, Kentucky operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1619490778 assigned on July 2017. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Island Medical Henderson Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Michaelamy Charley Esq (Chief Legal Officer)

NPI
1619490778
Provider Name
ISLAND MEDICAL HENDERSON LLC
Entity Type
Organization
Location Address
1305 N ELM ST HENDERSON, KY 42420
Location Phone
(406) 862-3002
Mailing Address
12420 MILESTONE CENTER DR STE 200 GERMANTOWN, MD 20876
Mailing Phone
(240) 686-2300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2017
Last Update Date
06-03-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
2363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MICHAELAMY CHARLEY ESQ

Authorized Official Title
CHIEF LEGAL OFFICER
Authorized Official Phone
(240) 686-2300

Reviews for ISLAND MEDICAL HENDERSON LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619490778, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 8 + 9 + 0 + 7 + 1 + 4 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1619490778.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
1305 N ELM ST, ER
HENDERSON, KY 42420
Radiology (Diagnostic Radiology)
1305 N ELM ST
HENDERSON, KY 42420
Radiology (Diagnostic Radiology)
1305 N ELM ST
HENDERSON, KY 42420
Nurse Anesthetist, Certified Registered
1305 N ELM ST, ANESTHESIA DEPARTMENT
HENDERSON, KY 42420
Anesthesiology (Critical Care Medicine)
1305 N ELM ST
HENDERSON, KY 42420
Pathology (Anatomic Pathology & Clinical Pathology)
1305 N ELM ST
HENDERSON, KY 42420
Anesthesiology
1305 N ELM ST, ANESTHESIA DEPT
HENDERSON, KY 42420
Pharmacist
1305 N ELM ST
HENDERSON, KY 42420
Pharmacist
1305 N ELM ST
HENDERSON, KY 42420
Dietitian, Registered
1305 N ELM ST
HENDERSON, KY 42420
Dietitian, Registered
1305 N ELM ST
HENDERSON, KY 42420
Dietitian, Registered
1305 N ELM ST
HENDERSON, KY 42420
Dietitian, Registered
1305 N ELM ST
HENDERSON, KY 42420
Nutritionist
1305 N ELM ST
HENDERSON, KY 42420
Specialist
1305 N ELM ST
HENDERSON, KY 42420
Pharmacist (Pharmacotherapy)
1305 N ELM ST
HENDERSON, KY 42420
Registered Nurse (Medical-Surgical)
1305 N ELM ST
HENDERSON, KY 42420
General Acute Care Hospital
1305 N ELM ST
HENDERSON, KY 42420
Nurse Practitioner (Family)
1305 N ELM ST
HENDERSON, KY 42420
Surgery
1305 N ELM ST
HENDERSON, KY 42420

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619490778, enumerated as an "organization" on July 20, 2017.

The provider is located at 1305 N ELM ST HENDERSON, KY 42420 and the phone number is (406) 862-3002.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.