Glenn B. Wolffe,M.D. P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0101039931 Issued in VA

Legal business name

GLENN B. WOLFFE,M.D. P.C.

Doing business as

Island Medical Center

Practice address

6295 Teal LN
Chincoteague, VA 23336-2207

Phone

(757) 336-2200

Fax

(757) 336-2211

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glenn B. Wolffe, M.D.

Title

President

Phone

(757) 336-2200

Specialties & licenses 1

Addresses

Other names 1

• Island Medical Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205946779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6295 TEAL LN",
            "city": "CHINCOTEAGUE",
            "state": "VA",
            "postal_code": "233362207",
            "telephone_number": "757-336-2200",
            "fax_number": "757-336-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6295 TEAL LN",
            "city": "CHINCOTEAGUE",
            "state": "VA",
            "postal_code": "233362207",
            "telephone_number": "757-336-2200",
            "fax_number": "757-336-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN B. WOLFFE,M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLFFE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-336-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0101039931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda W Daisey, PHARMACY TECHNICIAN
• Allison Denston, NP
• Eastern Shore Rural Health System Incorporated (Chincoteague Island Community Health Center)
• Alya Elsayed-Ali, DDS
• Lauren Evoniuk, PA-C
• H & H Pharmacy Inc.
• Howard Lee Harris Jr.
• Brandywine N Hightower, IDHS
• Justin Wolfe Horschel, USCG IDHS
• Ava C Johnson, NP

• Clinic/Center in Chincoteague, VA
• Providers in Chincoteague, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.