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

Q: 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.

Q: 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.

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: August 09, 2026.

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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 12

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

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

BON SECOURS ST FRANCIS XAVIER HOSPITAL, INC.

Internal Medicine (Hematology & Oncology)

2910 TRICOM ST
N 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

MR. CHRISTOPHER C STEPHANOFF PA

Physician Assistant (Medical)

2910 TRICOM ST
NORTH CHARLESTON, SC 29406

Charleston County (843) 572-9211

LYDIA ROMEO PA-C

Physician Assistant

2910 TRICOM ST
NORTH CHARLESTON, SC 29406

Charleston County (843) 572-9211

RACHEL HENDERSON BURT PA

Physician Assistant

2910 TRICOM ST
N 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.