Susan C Herndon (NPI# 1114432812, PAC ID# 7416217112) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1114432812 |
PAC ID by PECOS | 7416217112 |
Professional Enrollment ID | I20180126001785 |
Full Name | Susan C Herndon |
Organization Legal Name | PENINSULA CANCER INSTITUTE, LLC |
Address |
659 Hospital Rd Suite 201 Tappahannock VA 22560-7000 |
Phone Number | 8044436139 |
Gender | F |
Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 8729031638 |
Number of Group Practice Members | 29 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490084 | RIVERSIDE TAPPAHANNOCK HOSPITAL |
Address | Phone | Organization |
---|---|---|
659 Hospital Rd, Suite 201, Tappahannock, VA 22560-7000 | 8044436139 | 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 |
Alexander N Starodub | Hematology/oncology | Peninsula Cancer Institute, LLC | 12100 Warwick Blvd, Suite 201, Newport News, VA 23601-2365 |
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 |
659 HOSPITAL RD SUITE 201 |
City | TAPPAHANNOCK |
State | VA |
Zip | 22560-7000 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephanie Danielle Oetting | Nurse Practitioner | Riverside Physician Services Inc | 659 Hospital Rd, Suite A 203, Tappahannock, VA 22560-7000 |
Wirt Whitfield Cross Jr. | General Surgery | Riverside Physician Services Inc | 659 Hospital Rd, Suite A 203, Tappahannock, VA 22560-7000 |
Reginald K Mason | General Surgery | Riverside Physician Services Inc | 659 Hospital Rd, Suite A 203, Tappahannock, VA 22560-7000 |
Michael J Francis | Colorectal Surgery (proctology) | Riverside Physician Services Inc | 659 Hospital Rd, Suite A 203, Tappahannock, VA 22560-7000 |
Glenn Jay Spiegler | Orthopedic Surgery | Riverview Orthopaedics, LLC | 659 Hospital Rd, Suite 202, Tappahannock, VA 22560-5000 |
Name | Specialty | Organization | Address |
---|---|---|---|
William G Ryan | Optometry | William G. Ryan, O.d., Ltd. | 611 Della St, Tappahannock, VA 22560-0966 |
John L Press | Optometry | William G. Ryan, O.d., Ltd. | 611 Della St, Tappahannock, VA 22560-0966 |
Joon Suk Hwang | Podiatry | Ronald M Landess Dpm PC | 721 Charlotte St, Tappahannock, VA 22560-2210 |
April S Nizami | Podiatry | Ronald M Landess Dpm PC | 721 Charlotte St, Tappahannock, VA 22560-2210 |
Ronald M Landess | Podiatry | Ronald M Landess Dpm PC | 721 Charlotte St, Tappahannock, VA 22560-2210 |
Jill T Lewis | Physical Therapy | Essex Physical Therapy, Inc. | 900 S Church Ln, Tappahannock, VA 22560-2318 |
Ralph Russell Lewis Jr. | Physical Therapy | Essex Physical Therapy, Inc. | 900 S Church Ln, Tappahannock, VA 22560-2318 |
Phyllis G Eberline | Physical Therapy | Essex Physical Therapy, Inc. | 900 S Church Ln, Tappahannock, VA 22560-2318 |
John Battista Maggioncalda | Urology | Riverside Physician Services Inc | 668 Hospital Rd B, Tappahannock, VA 22560-5000 |
Alvaro A Puig-rodriguez | Internal Medicine | Riverside Physician Services Inc | 618 Hospital Rd, Tappahannock, VA 22560-5000 |
Find all physicians in zip 22560 |
City | TAPPAHANNOCK |
Zip Code | 22560 |
Specialty | NURSE PRACTITIONER |
City + Specialty | TAPPAHANNOCK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan C Herndon.
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.