Alexander N Starodub (NPI# 1124087135, PAC ID# 5395767941) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1124087135 |
| PAC ID by PECOS | 5395767941 |
| Professional Enrollment ID | I20190416000109 |
| Full Name | Alexander N Starodub |
| Organization Legal Name | PENINSULA CANCER INSTITUTE, LLC |
| Address |
12100 Warwick Blvd Suite 201 Newport News VA 23601-2365 |
| Phone Number | 7575345555 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8729031638 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490052 | RIVERSIDE REGIONAL MEDICAL CENTER |
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12100 Warwick Blvd, Suite 201, Newport News, VA 23601-2365 | 7575345555 | PENINSULA CANCER INSTITUTE, LLC |
| Organization Legal Name | PENINSULA CANCER INSTITUTE, LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zia Ann Murphy | Nurse Practitioner | Peninsula Cancer Institute, LLC | 110 Wimbledon Square, Suite E, Chesapeake, VA 23320-4946 |
| Susan C Herndon | Nurse Practitioner | Peninsula Cancer Institute, LLC | 659 Hospital Rd, Suite 201, Tappahannock, VA 22560-7000 |
| Laura D Kerbin | Medical Oncology | Peninsula Cancer Institute, LLC | 10085 William F Bernart Cir, Nassawadox, VA 23413 |
| Joann B Mello | Nurse Practitioner | Peninsula Cancer Institute, LLC | 120 Kings Way, Suite 3100, Williamsburg, VA 23185-2506 |
| William W Maclaughlin | Hematology/oncology | Peninsula Cancer Institute, LLC | 120 Kings Way, Suite 3100, Williamsburg, VA 23185-2506 |
| Flavia E Kostov | Hematology/oncology | Peninsula Cancer Institute, LLC | 7544 Medical Dr, Suite B, Gloucester, VA 23061-4299 |
| Courtney Anne Hastings | Nurse Practitioner | Peninsula Cancer Institute, LLC | 7544 Medical Dr, Suite B, Gloucester, VA 23061-4299 |
| Ellyn Reynell Amato | Nurse Practitioner | Peninsula Cancer Institute, LLC | 7544 Medical Dr, Suite B, Gloucester, VA 23061-4299 |
| Kelly Armbruster | Nurse Practitioner | Peninsula Cancer Institute, LLC | 120 Kings Way, Suite 3100, Williamsburg, VA 23185-2506 |
| Craig Franzman | Hematology/oncology | Peninsula Cancer Institute, LLC | 120 Kings Way, Suite 3100, Williamsburg, VA 23185-2506 |
| Street Address |
12100 WARWICK BLVD SUITE 201 |
| City | NEWPORT NEWS |
| State | VA |
| Zip | 23601-2365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Casanova | Obstetrics/gynecology | Riverside Physician Services Inc | 12100 Warwick Blvd, Suite 202, Newport News, VA 23601-2365 |
| Brenda J Rivera | Nurse Practitioner | Riverside Physician Services Inc | 12100 Warwick Blvd, Suite 202, Newport News, VA 23601-2365 |
| William P Irvin Jr. | Gynecological Oncology | Riverside Physician Services Inc | 12100 Warwick Blvd, Suite 202, Newport News, VA 23601-2365 |
| Diane A Maddela | Obstetrics/gynecology | Riverside Physician Services Inc | 12100 Warwick Blvd, Suite 202, Newport News, VA 23601-2365 |
| Cengiz Inal | Hematology/oncology | Peninsula Cancer Institute, LLC | 12100 Warwick Blvd, Suite 201, Newport News, VA 23601-2365 |
| Charles R Kersh | Radiation Oncology | Riverside Physician Services Inc | 12100 Warwick Blvd, Suite 102, Newport News, VA 23601-2365 |
| Monilla M Dent | Obstetrics/gynecology | Riverside Physician Services Inc | 12100 Warwick Blvd, Suite 202, Newport News, VA 23601-2365 |
| Biral S Amin | Radiation Oncology | Riverside Physician Services Inc | 12100 Warwick Blvd, Suite 102, Newport News, VA 23601-2365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott E Olney | Chiropractic | 1056 Harpersville Rd, Newport News, VA 23601-1010 | |
| Miranda Hayden | Registered Dietitian Or Nutrition Professional | 35 Crestwood Dr, Newport News, VA 23601-1105 | |
| Andrew W Lewis | Ophthalmology | Riverside Physician Services Inc | 858 J Clyde Morris Blvd, Newport News, VA 23601-1303 |
| Laura E Mcaleer-leavey | Family Medicine | Riverside Physician Services Inc | 858 J Clyde Morris Blvd, Newport News, VA 23601-1303 |
| Cheryl Louise Miller | Physician Assistant | Riverside Physician Services Inc | 858 J Clyde Morris Blvd, Newport News, VA 23601-1303 |
| Emily S Dudley | Physician Assistant | Riverside Physician Services Inc | 858 J Clyde Morris Blvd, Newport News, VA 23601-1303 |
| Vera Dovirak | Physician Assistant | Riverside Physician Services Inc | 858 J Clyde Morris Blvd, Newport News, VA 23601-1303 |
| Jackson B. Salvant Jr. | Neurosurgery | Riverside Physician Services Inc | 858 J Clyde Morris Blvd, Newport News, VA 23601-1303 |
| Benjamin Steven Ingerson | Physician Assistant | Riverside Physician Services Inc | 858 J Clyde Morris Blvd, Newport News, VA 23601-1303 |
| Elizabeth Inez Pruitt | Physician Assistant | Riverside Physician Services Inc | 858 J Clyde Morris Blvd, Newport News, VA 23601-1303 |
| Find all physicians in zip 23601 | |||
| City | NEWPORT NEWS |
| Zip Code | 23601 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | NEWPORT NEWS + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Alexander N Starodub.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.