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COMMUNITY CANCER CARE SPECIALISTS
NPI 1407962442
Non-Pharmacy Dispensing Site in Mount Clemens, MI

Active since August 22, 2006
1030 HARRINGTON ST, STE 301, MOUNT CLEMENS, MI 48043(586) 493-3440(586) 493-3455 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Community Cancer Care Specialists NPPES

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

COMMUNITY CANCER CARE SPECIALISTS (NPI 1407962442), doing business as Paul M Derderian Do, is a healthcare organization registered as a non-pharmacy dispensing site in Mount Clemens, Michigan and active in the NPI registry since August 2006. The organization lists Leslie Nowak, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1407962442
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCOMMUNITY CANCER CARE SPECIALISTS
Location Address1030 HARRINGTON ST, STE 301Mount Clemens, MI 48043-2967
Mailing Address1030 Harrington St, Ste 301Mount Clemens, MI 48043-2967
Phone(586) 493-3440
Fax(586) 493-3455
Organization SubpartNo
Authorized OfficialLeslie NowakPractice Manager · (586) 493-3435
Enumeration DateAugust 22, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1407962442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 5101009575 (MI)
1030 HARRINGTON ST, Mount Clemens, MI 48043
Open in Google Maps ↗

Other Names 1

Doing Business AsPaul M Derderian Do

Other Identifiers 1

Other2368430Other Id Number-commercial Number

Other Providers at the Same Location NPPES 19

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

CARMEN EPSTEIN R.D., C.D.E.
Dietitian, Registered
1030 HARRINGTON ST, SUITE 202
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-3396
CARL MATTHEW PESTA D.O.
Surgery
1030 HARRINGTON ST, 302A
MOUNT CLEMENS, MI 48043
Macomb County (586) 759-2005
DR. ASHLEY N HARNDEN D.O.
Surgery
1030 HARRINGTON ST, SUITE 103
MOUNT CLEMENS, MI 48043
Macomb County (586) 466-6230
JOHN FLORIAN KAZMIERSKI DO
Internal Medicine (Cardiovascular Disease)
1030 HARRINGTON ST, SUITE 101
MOUNT CLEMENS, MI 48043
Macomb County (586) 468-8500
CAROL M FISCHER DO PLLC
Clinic/Center (Medical Specialty)
1030 HARRINGTON ST, SUITE 201
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-3880
CAROL MARIAM FISCHER D.O.
Obstetrics & Gynecology
1030 HARRINGTON ST, SUITE 201
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-3880
DR. STEPHEN DOUGLAS CAHILL D.O.
Surgery
1030 HARRINGTON ST, SUITE 103
MOUNT CLEMENS, MI 48043
Macomb County (586) 466-6230
DR. JULIE ANNE-MARIE BURNHAM D.O.
Psychiatry & Neurology (Neurology)
1030 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-3188

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 Community Cancer Care Specialists's NPI number?

The NPI number for Community Cancer Care Specialists is 1407962442. It was assigned to this organization in the NPPES registry on August 22, 2006. The provider is doing business as Paul M Derderian Do.

Where is Community Cancer Care Specialists located?

Community Cancer Care Specialists is located at 1030 Harrington St Ste 301, Mount Clemens, MI 48043. The listed phone number is (586) 493-3440.

What is Community Cancer Care Specialists's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Community Cancer Care Specialists was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.