Drury M Stith, M.D.
Individual provider Active NPI Medical Oncology Physician · Nassawadox, VA
NPI 1073556718 · NPPES record last updated Mar 13, 2014
Key facts
- NPI
- 1073556718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Oncology Physician 207RX0202X
- License
- 0101019962 (VA)
- Practice address
- 10085 William F. Bernart Circle
Nassawadox, VA 23413 - Phone
- (757) 414-8355
- Fax
- (757) 414-8016
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050420000684 | VA | Practitioner - Internal Medicine |
5991743973 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Cancer Institute LLC | Medical Oncology | Current |
Accepting new patients |
Locations
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
20480 Market St
Onancock, VA 23417
Phone (757) 302-2100
120 Kings Way
Ste 3100
Williamsburg, VA 23185
Phone (757) 345-5724
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 0101019962 | VA | Yes |
Addresses
Primary practice location
10085 William F. Bernart Circle
Nassawadox, VA 23413
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Other providers in Nassawadox, VA
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- Shore Rehabilitation Services Inc
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- Vincent Joseph Stravino
- Rosionka Tankard
- Urology of Virginia PC
- Kyle M Webb
- Marlin Dale Wiita
All providers in Nassawadox, VA · Medical Oncology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.