CANCER TREATMENT SPECIALIST, PC
NPI 1386112092
Surgery - Surgical Oncology in Wailuku, HI

NPI Status: Active since November 12, 2018

Contact Information

85 MAUI LANI PKWY
WAILUKU, HI
ZIP 96793
Phone: (808) 442-5700
Fax: (808) 442-5701

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  • Organization
  • Surgery
  • Surgical Oncology
  • CLIA Number: 03D2167366
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-05-2025

About CANCER TREATMENT SPECIALIST, PC

This page provides the complete NPI Profile along with additional information for Cancer Treatment Specialist, Pc, a provider established in Wailuku, Hawaii operating as a Surgery, focusing in surgical oncology . The healthcare provider is registered in the NPI registry with number 1386112092 assigned on November 2018. The practitioner's primary taxonomy code is 2086X0206X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Derrick Jerome Beech Md (President And Ceo)

NPI
1386112092
Provider Name
CANCER TREATMENT SPECIALIST, PC
Entity Type
Organization
Location Address
85 MAUI LANI PKWY WAILUKU, HI 96793
Location Phone
(808) 442-5700
Location Fax
(808) 442-5701
Mailing Address
7500 E MCCORMICK PKWY LOT 32 SCOTTSDALE, AZ 85258
Mailing Phone
(615) 887-1114
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-12-2018
Last Update Date
11-12-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Surgical Oncology

Taxonomy Code
2086X0206X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DERRICK JEROME BEECH MD

Authorized Official Title
PRESIDENT AND CEO
Authorized Official Phone
(615) 887-1114

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2167366
Facility Type
Physician Office
Certificate Effective Date
June 06, 2023
Certificate Expiration Date
June 05, 2025
Laboratory Director
SABA RADHI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cancer Treatment Specialist, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386112092
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23166214018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 2 + 1 + 4 + 0 + 1 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1386112092 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326015546DR. DERRICK J. BEECH MD
Individual
Surgery (Surgical Oncology)85 MAUI LANI PKWY
WAILUKU, HI 96793
(808) 442-5700
1255562302JOEL E ULLOTH, MD INC.
Organization
Specialist85 MAUI LANI PKWY
WAILUKU, HI 96793
(808) 442-5700
1194378885ROBERT CONNAUGHTON MD LTD
Organization
Surgery85 MAUI LANI PKWY
WAILUKU, HI 96793
(808) 442-5700
1750821443KRISTEN TAMURA MD INC
Organization
Internal Medicine (Nephrology)85 MAUI LANI PKWY
WAILUKU, HI 96793
(530) 241-1473
1871112029WENDY CHEN D.O., LLC
Organization
Internal Medicine (Hematology & Oncology)85 MAUI LANI PKWY
WAILUKU, HI 96793
(530) 241-1473
1841729670DR. TRAVIS WAGNER GLENN MD
Individual
Family Medicine85 MAUI LANI PKWY
WAILUKU, HI 96793
(808) 244-5766
1043749872DR. BRADLEY HOLMAN GLENN MD
Individual
Family Medicine85 MAUI LANI PKWY
WAILUKU, HI 96793
(808) 244-5366
1982604476 WAZHMA ASLAMY M.D.
Individual
Internal Medicine (Cardiovascular Disease)85 MAUI LANI PKWY
WAILUKU, HI 96793
(808) 442-5700
1225698350OHANA HEART LLC
Organization
Internal Medicine (Cardiovascular Disease)85 MAUI LANI PKWY
WAILUKU, HI 96793
(530) 241-1473
1750460804 WARREN VICTOR AYERS MD
Individual
Orthopaedic Surgery85 MAUI LANI PKWY
WAILUKU, HI 96793
(808) 442-5700
1922346220MRS. NAOMI M TAMPARONG NP-C
Individual
Nurse Practitioner (Family)85 MAUI LANI PKWY
WAILUKU, HI 96793
(808) 442-5700
1477009223 RACHEL LIVINGSTON THELEN FNP
Individual
Nurse Practitioner (Family)85 MAUI LANI PKWY
WAILUKU, HI 96793
(808) 442-5700
1053029835MAUI HEART & LUNG, LLC
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)85 MAUI LANI PKWY
WAILUKU, HI 96793
(928) 208-0089
1609258086 MARNY HALL-MORIYASU MSN
Individual
Clinical Nurse Specialist (Adult Health)85 MAUI LANI PKWY
WAILUKU, HI 96793
(808) 442-5700
1508443805GLENN FAMILY MEDICINE, LLC
Organization
Family Medicine85 MAUI LANI PKWY
WAILUKU, HI 96793
(330) 904-9354
1962114694MAUI SURGERY AND COLONOSCOPY SERVICES
Organization
Surgery85 MAUI LANI PKWY
WAILUKU, HI 96793
(808) 442-5700
1497753594DR. JAMES ROBERT WILLIAMS MD
Individual
Internal Medicine (Infectious Disease)85 MAUI LANI PKWY
WAILUKU, HI 96793
(808) 442-5700
1447940069DEVIN S. LEE, MD LLC
Organization
Internal Medicine (Infectious Disease)85 MAUI LANI PKWY
WAILUKU, HI 96793
(808) 442-5700
1588197842 DEVIN LEE MD
Individual
Internal Medicine (Infectious Disease)85 MAUI LANI PKWY
WAILUKU, HI 96793
(808) 442-5700
1518422187CHRISTOPHER K TALEGHANI MD LLC
Organization
Specialist85 MAUI LANI PKWY
WAILUKU, HI 96793
(530) 241-1473

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386112092, enumerated in the NPI registry as an "organization" on November 12, 2018

The provider is located at 85 Maui Lani Pkwy Wailuku, Hi 96793 and the phone number is (808) 442-5700

This medical organization specializes in Surgery with taxonomy code 2086X0206X with a focus in Surgical Oncology

The provider's CLIA number is 03D2167366 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 12, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.