Ellyn Reynell Amato (NPI# 1215343470, PAC ID# 9739309535) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1215343470 |
| PAC ID by PECOS | 9739309535 |
| Professional Enrollment ID | I20140929002604 |
| Full Name | Ellyn Reynell Amato |
| Organization Legal Name | PENINSULA CANCER INSTITUTE, LLC |
| Address |
7544 Medical Dr Suite B Gloucester VA 23061-4299 |
| Phone Number | 8046939037 |
| Gender | F |
| Graduation Year | 2014 |
| 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 |
|---|---|
| 490052 | RIVERSIDE REGIONAL MEDICAL CENTER |
| 490130 | RIVERSIDE WALTER REED HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7544 Medical Dr, Suite B, Gloucester, VA 23061-4299 | 8046939037 | PENINSULA CANCER INSTITUTE, LLC |
| 12100 Warwick Blvd, Suite 201, Newport News, VA 23601-2365 | 7575345555 | PENINSULA CANCER INSTITUTE, LLC |
| 120 Kings Way, Suite 3100, Williamsburg, VA 23185-2506 | 7573455724 | 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 |
| 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 |
| 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 |
7544 MEDICAL DR SUITE B |
| City | GLOUCESTER |
| State | VA |
| Zip | 23061-4299 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark E Chisam | Radiation Oncology | Riverside Physician Services Inc | 7544 Medical Dr, Gloucester, VA 23061-4299 |
| 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 |
| Melissa C Reagan | Nurse Practitioner | Peninsula Cancer Institute, LLC | 7544 Medical Dr, Suite B, Gloucester, VA 23061-4299 |
| Lori K Gillespie | Radiation Oncology | Riverside Physician Services Inc | 7544 Medical Dr, Gloucester, VA 23061-4299 |
| Mashour Yousef | Hematology/oncology | Peninsula Cancer Institute, LLC | 7544 Medical Dr, Suite B, Gloucester, VA 23061-4299 |
| Magi Khalil | Medical Oncology | Peninsula Cancer Institute, LLC | 7544 Medical Dr, Suite B, Gloucester, VA 23061-4299 |
| John F Miller | Hematology/oncology | Peninsula Cancer Institute, LLC | 7544 Medical Dr, Suite B, Gloucester, VA 23061-4299 |
| George Kannarkat | Hematology/oncology | Peninsula Cancer Institute, LLC | 7544 Medical Dr, Suite B, Gloucester, VA 23061-4299 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Muffelman | Dermatology | 6790 Wood Ridge Dr, Gloucester, VA 23061-0693 | |
| Layton W Merithew | Chiropractic | 6091 George Washington Memorial Hwy, Gloucester, VA 23061-3750 | |
| Wayne J Reynolds | Family Medicine | Sentara Medical Group | 5659 Pkwy Dr, Suite 210, Gloucester, VA 23061-3782 |
| Richard A. Hoefer | General Surgery | Sentara Medical Group | 5659 Pkwy Dr, Suite 100, Gloucester, VA 23061-3782 |
| Paula K Figgs | Physician Assistant | Hampton Roads Otolaryngology Associates Pllc | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Michael E Landis | Vascular Surgery | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Bonnie J Brooks | Internal Medicine | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| John A Kirk | Physician Assistant | Velocity Urgent Care LLC | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Robert M Kowalewski | Rheumatology | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Abay T Taddesse | Hospitalist | Sentara Medical Group | 5659 Pkwy Dr, Gloucester, VA 23061-3792 |
| Find all physicians in zip 23061 | |||
| City | GLOUCESTER |
| Zip Code | 23061 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GLOUCESTER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ellyn Reynell Amato.
| 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.