NPIMap

Organization Active NPI

Charleston Cancer Center

  • Hematology & Oncology Physician
  • Mount Pleasant, SC
National Provider Identifier
1073776464
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
SC11628 Issued in SC
Legal business name
CHARLESTON CANCER CENTER
Practice address
180 Wingo Way
Suite 205
Mt Pleasant, SC 29464
Phone
(843) 572-9211
NPI assigned
Jul 7, 2008
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARLESTON CANCER CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charles D Graham, MDNPI 1043213960
Title
President
Phone
(843) 572-0457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X SC11628 SC Primary
Hematology & Oncology Physician 207RH0003X SC08607 SC
Hematology & Oncology Physician 207RH0003X SC19684 SC

Addresses

Primary practice location

180 Wingo Way
Suite 205
Mt Pleasant, SC 29464

Mailing address

2910 Tricom Street
Charleston, SC 29406
Phone (843) 572-9211

National Provider Directory

National Provider Directory
Tax ID family
Charleston Cancer Cente3 organizations share this tax ID, including this one
Part of
Charleston Cancer Cente

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1073776464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 TRICOM STREET",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-572-9211",
            "fax_number": "843-572-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WINGO WAY",
            "address_2": "SUITE 205",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-572-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON CANCER CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLESTON CANCER CENTER",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-572-0457",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "SC11628",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "SC08607",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "SC19684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.