Active NPI
Beacon Cancer Care PLLC
- Hematology & Oncology Physician
- Boise, ID
National Provider Identifier
1255238598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- BEACON CANCER CARE PLLC
- Practice address
- 8950 W Emerald St Ste 108
Boise, ID 83704-4842 - Phone
- (208) 755-2804
- Fax
- (208) 765-0277
- NPI assigned
- Oct 21, 2026
- Last updated
- Oct 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Gelfman Harrell
- Title
- Credentialing Data Specialist
- Phone
- (386) 301-3753
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary | ||
| Rheumatology Physician | 207RR0500X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Urology Physician | 208800000X |
Addresses
Primary practice location
8950 W Emerald St Ste 108
Boise, ID 83704-4842
Mailing address
3815 N Schreiber Way Unit 101
Coeur D Alene, ID 83815-8434
Phone (208) 755-2804
Other practice location 1
8854 W Emerald St Ste 260
Boise, ID 83704-4860
Phone (208) 755-2804
National Provider Directory
National Provider Directory- Tax ID family
- Beacon Cancer Care PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialty Pharmacy
- Coeur d'Alene, ID
- NPI 1437973674
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.
-
- Hematology & Oncology Physician
- Coeur d'Alene, ID
- NPI 1245492768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792540800000",
"number": "1255238598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 N SCHREIBER WAY UNIT 101",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838158434",
"telephone_number": "208-755-2804",
"fax_number": "208-765-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 W EMERALD ST STE 108",
"city": "BOISE",
"state": "ID",
"postal_code": "837044842",
"telephone_number": "208-755-2804",
"fax_number": "208-765-0277"
}
],
"practiceLocations": [
{
"address_1": "8854 W Emerald St Ste 260",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837044860",
"country_code": "US",
"telephone_number": "208-755-2804",
"fax_number": "208-765-0277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BEACON CANCER CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-21",
"last_updated": "2026-10-21",
"certification_date": "2026-10-21",
"status": "A",
"authorized_official_last_name": "HARRELL",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "GELFMAN",
"authorized_official_title_or_position": "CREDENTIALING DATA SPECIALIST",
"authorized_official_telephone_number": "386-301-3753"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.