SHORE CANCER INSTITUTE – NPI #1710218664
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.

Health Care Provider Taxonomy Code for Internal Medicine

SHORE CANCER INSTITUTE is a provider located in ONANCOCK, VA. NPPES has assigned the NPI number 1710218664 to SHORE CANCER INSTITUTE on January 15, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHORE CANCER INSTITUTE” is a dba name, the actual legal business name for this organization is PENINSULA CANCER INSTITUTE LLC. 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 previously updated about 9 years ago on Feb 09, 2017. 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 SHORE CANCER INSTITUTE below.

NPI Profile for
PENINSULA CANCER INSTITUTE LLC

NPI Number
1710218664
Enumeration Date

(more than 16 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
Doing Business As (dba): SHORE CANCER INSTITUTE
Primary location
20480 MARKET STREET
ONANCOCK, VA 23417
Phone: (757) 302-2600 Fax:
Mailing address
856 J CLYDE MORRIS BLVD
STE A
NEWPORT NEWS, VA 23601-1318
Phone: (757) 316-5960 Fax: (757) 534-5190
Organization Subpart
Yes - SHORE CANCER INSTITUTE is subpart of another organization.
Authorized Official
BRADEN MILLER
CFO
Phone: (757) 316-5800
Updated
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)

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.