Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peninsula Regional Medical Center

Organization Family Medicine Physician · NPI 1003058629

Peninsula Regional Medical Center is a Family Medicine Physician in Chincoteague, Virginia. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

6295 Teal Ln Island Family Medicine
Chincoteague, VA 23336-2207
Phone: (757) 336-2200
Fax: (757) 336-2211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1003058629
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Horner — Credentialing Coordinator · (410) 543-7531
Other names Island Family Medicine
NPI enumeratedMarch 27, 2009
Last updated in NPPESApril 30, 2009
Mailing address100 E Carroll St, Salisbury, MD 21801

Other providers in Chincoteague