Active NPI
Island Clinic, P.a.
- Exclusive Provider Organization
- Galveston, TX
National Provider Identifier
1922021823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- Legal business name
- ISLAND CLINIC, P.A.
- Practice address
- 6511 Stewart Rd
Suite # 1
Galveston, TX 77551-1837 - Phone
- (409) 744-6373
- Fax
- (409) 744-9300
- NPI assigned
- Jul 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey D. Thorley, M.D.
- Title
- Owner
- Phone
- (409) 744-6373
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | TX | Primary |
Addresses
Primary practice location
6511 Stewart Rd
Suite # 1
Galveston, TX 77551-1837
Mailing address
6511 Stewart Rd
Suite # 1
Galveston, TX 77551-1837
Phone (409) 744-6373
National Provider Directory
National Provider DirectoryLocations
524 Highway 3
La Marque, TX 77568
Phone (409) 935-2149
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Philadelphia, PA
- NPI 1982627121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1922021823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6511 STEWART RD",
"address_2": "SUITE # 1",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775511837",
"telephone_number": "409-744-6373",
"fax_number": "409-744-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6511 STEWART RD",
"address_2": "SUITE # 1",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775511837",
"telephone_number": "409-744-6373",
"fax_number": "409-744-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND CLINIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "THORLEY",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "409-744-6373",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.