Organization Active NPI

Island Clinic, P.a.

  • Exclusive Provider Organization
  • Galveston, TX
National Provider Identifier
1922021823
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
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

Updated by the provider on Jul 21, 2022

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.NPI 1982627121
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.