Island Medical Henderson LLC
NPI 1619490778ActiveOrganization· Emergency Medicine· Henderson, KY
Emergency Medicine in Henderson, Kentucky, registered in NPPES in July 2017. The authorized official on file is Michaelamy Charley, ESQ, Chief Legal Officer.
Overview
| NPI | 1619490778 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2017 |
| Last updated in NPPES | Jun 3, 2020 |
| Certified by provider | Jun 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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