Beacon Cancer Care PLLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

BEACON CANCER CARE PLLC

Practice address

3815 N Schreiber Way Unit 101
Coeur D Alene, ID 83815-8434

Phone

(208) 755-2804

Fax

(208) 765-0277

NPI assigned

Nov 13, 2024

Last updated

Nov 13, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

BEACON CANCER CARE PLLCAs reported in NPPES

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

Authorized official

Name

Dr. David Cadwell Bartels, DONPI 1245492768

Title

Member

Phone

(208) 755-2804

Specialties & licenses 1

Addresses

Tax ID family

Beacon Cancer Care PLLC2 organizations share this tax ID, including this one

Part of

Beacon Cancer Care PLLC

Other organizations with this tax ID 1

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

• Beacon Cancer Care PLLC

  • Hematology & Oncology Physician
  • Boise, ID
  • NPI 1255238598
  NPD tax ID

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.

• Beacon Cancer Care PLLC

  dba Beacon Clinic

  • Multi-Specialty Clinic/Center
  • Coeur d'Alene, ID
  • NPI 1407335367
  NPPES parent name

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.

• David Cadwell Bartels, DO

  • Hematology & Oncology Physician
  • Coeur d'Alene, ID
  • NPI 1245492768
  NPD Authorized official

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1437973674",
    "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": "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON CANCER CARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEACON CANCER CARE PLLC",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-10",
        "status": "A",
        "authorized_official_last_name": "BARTELS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CADWELL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-755-2804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Mitchell Baxter, DPT, OCS, ATC, CSCS
• Be Well Therapy Group of Idaho PLLC
• Erika Jean Beachler, M.T.
• Beachside Counseling LLC
• Beacon Cancer Care PLLC (Beacon Clinic)
• Matthew C. Bean, MD
• Robin Marie Beard, ARNP
• Britta Beasley, MD
• Beatific Behavior Services, Inc
• Beatific Behavior Services, Inc

• Specialty Pharmacy in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Specialty Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.