DR. DERRICK J. BEECH (NPI# 1326015546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326015546 |
| Entity Type | Individual |
| Full Name | DR. DERRICK J. BEECH |
| Credential | MD |
| Practice Address |
85 Maui Lani Pkwy Wailuku HI 96793-2416 |
| Mailing Address |
7080 Canonbury Pl Atlanta GA 30328-1934 |
| Practice Telephone | 8084425700 |
| Mailing Telephone | 6158871114 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2018-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 056091 | GA | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD-18903 | HI | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
53390 | AZ | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
056091 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003114446A | 05 | |
| TN | 3839168 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14200 W Celebrate Life Way, Goodyear, AZ 853383007 | 6232073325 | 6232073921 |
| Street Address |
85 MAUI LANI PKWY |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871112029 | Wendy Chen D.o., LLC | Internal Medicine | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2020-04-08 |
| 1194378885 | Robert Connaughton Md Ltd | Surgery | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2019-07-22 |
| 1225698350 | Ohana Heart LLC | Internal Medicine | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2019-06-20 |
| 1518422187 | Christopher K Taleghani Md LLC | Specialist | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2019-02-07 |
| 1386112092 | Cancer Treatment Specialist, PC | Surgery | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2018-11-12 |
| 1750821443 | Kristen Tamura Md Inc | Internal Medicine | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2017-03-01 |
| 1255562302 | Joel E Ulloth, Md Inc. | Specialist | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2009-08-06 |
| 1669651881 | Jorge Enrique Guzman | Internal Medicine | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2007-10-25 |
| 1326061003 | Robert H Connaughton | Surgery | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2006-07-25 |
| 1942235429 | Vaughan Robert Cipperly | Internal Medicine | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386112092 | Cancer Treatment Specialist, PC | Surgery | 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | 2018-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1356526347 | Paul T. Morris, Md Inc | Surgery | 1380 Lusitana St Ste 507, Honolulu, HI 96813-2441 | 2008-01-08 |
| 1407045883 | James T. Kakuda, Md, LLC | Surgery | 98-1079 Moanalua Rd, Suite #580, Aiea, HI 96701-4713 | 2007-10-22 |
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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.