Susan C Herndon
PENINSULA CANCER INSTITUTE, LLC


Address: 659 Hospital Rd, Suite 201, Tappahannock, VA 22560-7000
Phone: 8044436139

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490084 RIVERSIDE TAPPAHANNOCK HOSPITAL

Other Locations

Address Phone Organization
659 Hospital Rd, Suite 201, Tappahannock, VA 22560-7000 8044436139 PENINSULA CANCER INSTITUTE, LLC

Organization Information

Organization Legal Name PENINSULA CANCER INSTITUTE, LLC
Physicians 26

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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

Office Location

Street Address 659 HOSPITAL RD
SUITE 201
City TAPPAHANNOCK
State VA
Zip 22560-7000

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

Search similar physicians

City TAPPAHANNOCK
Zip Code 22560
Specialty NURSE PRACTITIONER
City + Specialty TAPPAHANNOCK + NURSE PRACTITIONER

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Dataset Information

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.

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