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CHARLESTON CANCER CENTER PA
NPI 1043220627
Internal Medicine - Hematology & Oncology in North Charleston, SC

Active since August 08, 2006
2910 TRICOM ST, NORTH CHARLESTON, SC 29406(843) 572-9211(843) 572-0457 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charleston Cancer Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLESTON CANCER CENTER PA (NPI 1043220627), doing business as Trident Palmetto Hematology Oncology, is a healthcare organization registered as a hematology & oncology in North Charleston, South Carolina and active in the NPI registry since August 2006. The organization lists Douglas L. Michaelsen, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1043220627
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameCHARLESTON CANCER CENTER PA
Location Address2910 TRICOM STNorth Charleston, SC 29406-9350
Mailing Address2910 Tricom StNorth Charleston, SC 29406-9350 · (843) 572-9211 · Fax (843) 572-0457
Phone(843) 572-9211
Fax(843) 572-0457
Organization SubpartNo
Authorized OfficialDouglas L. MichaelsenManaging Partner · (843) 572-9211
Enumeration DateAugust 8, 2006
Last NPPES UpdateFebruary 15, 2016
✔ NPI 1043220627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in SC · 11628✔ Licensed in SC · 18607✔ Licensed in SC · 19684✔ Licensed in SC · 32155✔ Licensed in SC · 30018
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA2273 (SC)
2910 TRICOM ST, North Charleston, SC 29406
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Other Names 1

Former Legal Business NameTrident Palmetto Hematology Oncology

Other Identifiers 2

OtherC612826292Medicare Group Number
Medicare NSC1278940001

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES DUDLEY GRAHAM MD
Internal Medicine (Hematology & Oncology)
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Charleston County (843) 572-9211
MR. CHRISTOPHER C STEPHANOFF PA
Physician Assistant (Medical)
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Charleston County (843) 572-9211
MS. GINA MAGGIANO FISHBURNE P.A.
Physician Assistant
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Charleston County (843) 572-9211
DR. JULIA HAY SAYLORS M.D.
Internal Medicine (Hematology & Oncology)
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Charleston County (843) 572-9211
DR. DOUGLAS L MICHAELSEN MD
Internal Medicine (Hematology & Oncology)
2910 TRICOM ST, CHARLESTON CANCER CENTER
NORTH CHARLESTON, SC 29406
Charleston County (843) 572-9211
DR. ASHLEY ABIDE JETER M.D.
Internal Medicine (Hematology & Oncology)
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Charleston County (843) 572-9211
TINA WITHROW FNP
Nurse Practitioner (Family)
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Charleston County (843) 572-9211
DR. CHARLES STEPHEN HOLLADAY MD
Internal Medicine (Hematology & Oncology)
2910 TRICOM ST, CHARLESTON CANCER CENTER
NORTH CHARLESTON, SC 29406
Charleston County (843) 572-9211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charleston Cancer Center PA's NPI number?

The NPI number for Charleston Cancer Center PA is 1043220627. It was assigned to this organization in the NPPES registry on August 8, 2006. The provider was formerly known as Trident Palmetto Hematology Oncology.

Where is Charleston Cancer Center PA located?

Charleston Cancer Center PA is located at 2910 Tricom St, North Charleston, SC 29406. The listed phone number is (843) 572-9211.

What is Charleston Cancer Center PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

What insurance does Charleston Cancer Center PA accept?

Health plans from Moda Health Plan, Inc. list Charleston Cancer Center PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charleston Cancer Center PA was last updated on February 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.