PENINSULA CANCER INSTITUTE LLC – NPI #1710180120
Internal Medicine

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.

PENINSULA CANCER INSTITUTE LLC is a provider located in CHESAPEAKE, VA. NPPES has assigned the NPI number 1710180120 to PENINSULA CANCER INSTITUTE LLC on June 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was last updated on Apr 23, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PENINSULA CANCER INSTITUTE LLC below.

NPI Profile for
PENINSULA CANCER INSTITUTE LLC

NPI Number
1710180120
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PENINSULA CANCER INSTITUTE LLC
Primary location
110 WIMBLEDON SQ STE E1
CHESAPEAKE, VA 23320-4946
Phone: (757) 436-2995 Fax: (757) 436-2912
2 Other location(s):
5839 Harbour View Blvd Ste 100A
Suffolk, VA 23435-3797
Phone: (757) 397-4200
Fax: (757) 397-3872
1200 First Colonial Rd Ste 204A
Virginia Beach, VA 23454-2207
Phone: (757) 363-8212
Fax: (757) 363-2246
Mailing address
856 J CLYDE MORRIS BLVD STE A
NEWPORT NEWS, VA 23601-1318
Phone: (757) 594-4006 Fax: (757) 534-5190
Organization Subpart
No
Authorized Official
BILLIE JO BROWN
CREDENTIALING MANAGER
Phone: (757) 316-5901
Updated
Certification Date
Apr 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
207RX0202X
- Internal Medicine / Medical Oncology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.