Organization Active NPI

Cancer Treatment Specialist, PC

  • Surgical Oncology Physician
  • Wailuku, HI
National Provider Identifier
1386112092
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
Legal business name
CANCER TREATMENT SPECIALIST, PC
Practice address
85 Maui Lani Pkwy
Wailuku, HI 96793-2416
Phone
(808) 442-5700
Fax
(808) 442-5701
NPI assigned
Nov 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Authorized official

Name
Dr. Derrick Jerome Beech, MD
Title
President and Ceo
Phone
(615) 887-1114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X Primary

Addresses

Primary practice location

85 Maui Lani Pkwy
Wailuku, HI 96793-2416

Mailing address

7500 E McCormick Pkwy Lot 32
Scottsdale, AZ 85258-2912
Phone (615) 887-1114

Other names 1

  • Derrick J Beech Other name

National Provider Directory

National Provider Directory

Locations

85 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 442-5700

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1386112092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 E MCCORMICK PKWY LOT 32",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582912",
            "telephone_number": "615-887-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MAUI LANI PKWY",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932416",
            "telephone_number": "808-442-5700",
            "fax_number": "808-442-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER TREATMENT SPECIALIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "BEECH",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "615-887-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Derrick J Beech",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.