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

NPI Status: Active since August 08, 2006

Contact Information

2910 TRICOM ST
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 572-9211
Fax: (843) 572-0457

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  • Organization
  • Internal Medicine
  • Hematology & Oncology
  • Accepts Insurance

About CHARLESTON CANCER CENTER PA

This page provides the complete NPI Profile along with additional information for Charleston Cancer Center Pa, an internist established in North Charleston, South Carolina operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1043220627 assigned on August 2006. The practitioner's primary taxonomy code is 207RH0003X with license number 11628 (SC). The provider is registered as an organization and their NPI record was last updated 10 years ago. Charleston Cancer Center Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Trident Palmetto Hematology Oncology. The authorized official of this NPI record is Douglas L. Michaelsen M.d. (Managing Partner)

NPI
1043220627
Provider Legal Name
CHARLESTON CANCER CENTER PA
Other Organization Name
TRIDENT PALMETTO HEMATOLOGY ONCOLOGY
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
2910 TRICOM ST NORTH CHARLESTON, SC 29406
Location Phone
(843) 572-9211
Location Fax
(843) 572-0457
Mailing Address
2910 TRICOM ST NORTH CHARLESTON, SC 29406
Mailing Phone
(843) 572-9211
Mailing Fax
(843) 572-0457
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-08-2006
Last Update Date
02-15-2016
Code Navigator

An internist like Charleston Cancer Center Pa is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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

Internal Medicine Hematology & Oncology

Taxonomy Code
207RH0003X
Type
Allopathic & Osteopathic Physicians
License No.
11628
License State
SC
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RH0003XAllopathic & Osteopathic Physicians

Internal Medicine
Hematology & Oncology

 
2207RH0003XAllopathic & Osteopathic Physicians

Internal Medicine
Hematology & Oncology

18607 (SC)
3207RH0003XAllopathic & Osteopathic Physicians

Internal Medicine
Hematology & Oncology

19684 (SC)
4207RH0003XAllopathic & Osteopathic Physicians

Internal Medicine
Hematology & Oncology

32155 (SC)
5207RH0003XAllopathic & Osteopathic Physicians

Internal Medicine
Hematology & Oncology

30018 (SC)
6363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA2273 (SC)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DOUGLAS L. MICHAELSEN M.D.

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(843) 572-9211

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C612826292OTHER (01)MEDICARE GROUP NUMBER
1278940001MEDICARE NSC (07) 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043220627, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 4 + 2 + 0 + 6 + 4 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1043220627.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Physician Assistant (Medical)
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Internal Medicine (Hematology & Oncology)
2910 TRICOM ST
N CHARLESTON, SC 29406
Physician Assistant
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Physician Assistant
2910 TRICOM ST
N CHARLESTON, SC 29406
Internal Medicine (Hematology & Oncology)
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Internal Medicine (Hematology & Oncology)
2910 TRICOM ST, CHARLESTON CANCER CENTER
NORTH CHARLESTON, SC 29406
Internal Medicine (Hematology & Oncology)
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Nurse Practitioner (Family)
2910 TRICOM ST
NORTH CHARLESTON, SC 29406
Internal Medicine (Hematology & Oncology)
2910 TRICOM ST, CHARLESTON CANCER CENTER
NORTH CHARLESTON, SC 29406
Physician Assistant
2910 TRICOM ST
NORTH CHARLESTON, SC 29406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043220627, enumerated as an "organization" on August 08, 2006.

The provider is located at 2910 TRICOM ST NORTH CHARLESTON, SC 29406 and the phone number is (843) 572-9211.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.