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SHORE CANCER INSTITUTE
NPI 1710218664
Internal Medicine - Hematology & Oncology in Onancock, VA

Active since January 15, 2010
20480 MARKET STREET, ONANCOCK, VA 23417(757) 302-2600 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shore Cancer Institute NPPES

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

SHORE CANCER INSTITUTE (NPI 1710218664) is a healthcare organization registered as a hematology & oncology in Onancock, Virginia and active in the NPI registry since January 2010. The organization lists Braden Miller, Cfo, as its authorized official.

NPPES Registry Identity

NPI1710218664
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NamePENINSULA CANCER INSTITUTE LLC
Location Address20480 MARKET STREETOnancock, VA 23417
Mailing Address856 J Clyde Morris Blvd, Ste ANewport News, VA 23601-1318 · (757) 316-5960 · Fax (757) 534-5190
Phone(757) 302-2600
Organization SubpartYesParent: Riverside Healthcare Associates
Authorized OfficialBraden MillerCfo · (757) 316-5800
Enumeration DateJanuary 15, 2010
Last NPPES UpdateFebruary 9, 2017
✔ NPI 1710218664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
20480 MARKET STREET, Onancock, VA 23417
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Other Names 1

Doing Business AsShore Cancer Institute

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVERSIDE PHYSICIAN SERVICES, INC
Hospitalist
20480 MARKET STREET
ONANCOCK, VA 23417
Accomack County (757) 302-2342
DR. JEFFERSON EADDY CARTER MOULDS M.D.
Radiology (Radiation Oncology)
20480 MARKET STREET
ONANCOCK, VA 23417
Accomack County (757) 302-2600
RIVERSIDE PHYSICIAN SERVICES INC
Radiology (Radiation Oncology)
20480 MARKET STREET
ONANCOCK, VA 23417
Accomack County (757) 302-2600

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 1710218664. It was assigned to this organization in the NPPES registry on January 15, 2010. The provider is doing business as Shore Cancer Institute.

Where is Peninsula Cancer Institute LLC located?

Peninsula Cancer Institute LLC is located at 20480 Market Street, Onancock, VA 23417. The listed phone number is (757) 302-2600.

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 February 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.