COMPLEMENTARY CANCER CARE INC. (NPI# 1073748927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073748927 |
| Entity Type | Organization |
| Organization Name | COMPLEMENTARY CANCER CARE INC. |
| Other Organization Name | INTEGRATIVE CANCER CARE |
| Practice Address |
86 Jonathan Lucas St Charleston SC 29425-8900 |
| Practice Telephone | 8437922000 |
| Mailing Telephone | 8432675060 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2010-02-24 |
| Authorized Official Name | MR. PAUL STEPHEN FALKOWSKI (DIRECTOR) |
| Authorized Official Telephone | 8437922000 |
| Authorized Official Credential | NUTRITIONIST/LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NPI | 1073748927 | 01 |
| Other Name | Type Code |
|---|---|
| Integrative Cancer Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073835930 | Complementary Cancer Care Inc. | Durable Medical Equipment & Medical Supplies | 86 Jonathan Lucas St Suite 117, Charleston, SC 29425-8900 | 2010-02-19 |
| Street Address |
86 JONATHAN LUCAS ST |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851565576 | Kelly Marie Hylton | Nurse Practitioner | 86 Jonathan Lucas St, Hollings Cancer Center, Charleston, SC 29425-7710 | 2008-04-14 |
| 1497376495 | Jennifer Macdonald | Pharmacist | 86 Jonathan Lucas St, Charleston, SC 29425-8900 | 2020-04-30 |
| 1609496538 | Anastasia Finn Graham | Pharmacist | 86 Jonathan Lucas St, Charleston, SC 29425-8900 | 2020-04-21 |
| 1245850155 | James A Davis | Pharmacist | 86 Jonathan Lucas St, Charleston, SC 29425-8900 | 2020-04-21 |
| 1467093476 | Amanda Katlin Herbst | Physician Assistant | 86 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-10-01 |
| 1083077168 | Cathy C Letton | Pharmacist | 86 Jonathan Lucas St, Charleston, SC 29425-8900 | 2016-04-05 |
| 1073810214 | Michael Clayton Stafford | Dietitian, Registered | 86 Jonathan Lucas St, Charleston, SC 29425-8900 | 2011-02-24 |
| 1144547563 | Lisa Cordes | Pharmacist | 86 Jonathan Lucas St, Room 114, Charleston, SC 29425-8900 | 2010-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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|---|---|---|---|---|
| 1063932929 | Cabin Creek Health Center, Inc. | Clinic/Center | 108 Lee St E, Charleston, WV 25301-1506 | 2017-06-22 |
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| 1316291172 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 200 Elm St E, Hampton, SC 29924-3430 | 2012-11-01 |
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| 1629322466 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 1520 Grays Hwy, Ridgeland, SC 29936-5440 | 2012-11-01 |
| 1720332794 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 552 Stiney Road, Hardeeville, SC 29927-0369 | 2012-10-30 |
| 1427302470 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 6315 Jonathan Francis Sr. Rd., St. Helena Island, SC 29920-5401 | 2012-10-30 |
| 1801178918 | Community Medicine Foundation | Clinic/Center | 313 Fargo St, Rock Hill, SC 29732-2870 | 2011-09-14 |
| 1013299148 | Community Medicine Foundation | Clinic/Center | 382 Workman St, Rock Hill, SC 29730-6354 | 2011-09-14 |
| 1669676201 | Family Health Centers, Inc. | Clinic/Center | 7061 Norway Rd, Neeses, SC 29107-9021 | 2007-06-14 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.