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: July 19, 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
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

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


The following 3 providers are registered at the same or a nearby location.

Radiology (Radiation Oncology)
20480 MARKET STREET
ONANCOCK, VA 23417
Hospitalist
20480 MARKET STREET
ONANCOCK, VA 23417
Radiology (Radiation Oncology)
20480 MARKET STREET
ONANCOCK, VA 23417

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710218664, enumerated as an "organization" on January 15, 2010.

The provider is located at 20480 MARKET STREET ONANCOCK, VA 23417 and the phone number is (757) 302-2600.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.