COMMUNITY CANCER CARE SPECIALISTS
NPI 1760411680
Internal Medicine - Hematology & Oncology in Mount Clemens, MI

Active since July 02, 2006
1080 HARRINGTON ST, SUITE 202, MOUNT CLEMENS, MI 48043(586) 493-3440(586) 493-3445 Get Directions Write a Review

NPPES record last updated: August 5, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Cancer Care Specialists NPPES

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

COMMUNITY CANCER CARE SPECIALISTS (NPI 1760411680) is a healthcare organization registered as a hematology & oncology in Mount Clemens, Michigan and active in the NPI registry since July 2006. The organization lists Paul M Derderian, Owner, as its authorized official.

NPPES Registry Identity

NPI1760411680
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameCOMMUNITY CANCER CARE SPECIALISTS
Location Address1080 HARRINGTON ST, SUITE 202Mount Clemens, MI 48043-2901
Mailing AddressPo Box 1169Mount Clemens, MI 48046-1169 · (586) 493-3440 · Fax (586) 493-3455
Fax(586) 493-3445
Organization SubpartNo
Authorized OfficialPaul M DerderianOwner · (586) 493-3440
Enumeration DateJuly 2, 2006
Last NPPES UpdateAugust 5, 2009
NPI 1760411680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in MI · 009575
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.
1080 HARRINGTON ST, Mount Clemens, MI 48043

Other Identifiers 2

Medicare PINOM61220MI
Medicare PINOP11450MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Radiology (Radiation Oncology)
1080 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Internal Medicine (Hematology & Oncology)
1080 HARRINGTON ST, SUITE 202
MOUNT CLEMENS, MI 48043
Radiology (Radiation Oncology)
1080 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Orthopaedic Surgery
1080 HARRINGTON ST, SUITE 201
MT CLEMENS, MI 48043
Radiology (Radiation Oncology)
1080 HARRINGTON ST
MOUNT CLEMENS, MI 48043

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 1760411680. It was assigned to this organization in the NPPES registry on July 2, 2006.

Where is Community Cancer Care Specialists located?

Community Cancer Care Specialists is located at 1080 Harrington St Suite 202, 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 Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Community Cancer Care Specialists was last updated on August 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.