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PENINSULA CANCER INSTITUTE, LLC
NPI 1508947342
Internal Medicine - Hematology & Oncology in Newport News, VA

Active since October 18, 2006
12100 WARWICK BLVD., SUITE 201, NEWPORT NEWS, VA 23601(757) 534-5555(757) 534-5569 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peninsula Cancer Institute, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENINSULA CANCER INSTITUTE, LLC (NPI 1508947342) is a healthcare organization registered as a hematology & oncology in Newport News, Virginia and active in the NPI registry since October 2006. The organization maintains 2 additional practice locations and lists Braden Miller, Cfo, as its authorized official.

NPPES Registry Identity

NPI1508947342
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NamePENINSULA CANCER INSTITUTE, LLC
Location Address12100 WARWICK BLVD., SUITE 201Newport News, VA 23601-2365
Mailing Address856 J Clyde Morris Blvd Ste ANewport News, VA 23601-1318 · (757) 594-4006 · Fax (757) 534-5190
Phone(757) 534-5555
Fax(757) 534-5569
Organization SubpartNo
Authorized OfficialBraden MillerCfo · (757) 594-4006
Enumeration DateOctober 18, 2006
Last NPPES UpdateApril 28, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1508947342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedSpecialistTaxonomy 174400000X · License 0101043974 (VA)
12100 WARWICK BLVD., Newport News, VA 23601
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Secondary Practice Locations 2

Location 1120 Kings Way Ste 3100-AWilliamsburg, VA 23185-2505 · Phone (757) 345-5724 · Fax (757) 345-2236
Location 27544 Medical Dr Ste B-1Gloucester, VA 23061-4299 · Phone (804) 693-9037 · Fax (804) 693-9486

Other Identifiers 5

Medicaid0101047727VA
Medicaid010125626VA
Medicaid010162338VA
Medicaid010202761VA
Medicaid010228484VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peninsula Cancer Institute, LLC's NPI number?

The NPI number for Peninsula Cancer Institute, LLC is 1508947342. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Peninsula Cancer Institute, LLC located?

Peninsula Cancer Institute, LLC is located at 12100 Warwick Blvd. Suite 201, Newport News, VA 23601. The listed phone number is (757) 534-5555.

What is Peninsula Cancer Institute, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Peninsula Cancer Institute, LLC was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.