OrganizationActive
Community Cancer Care Specialists
NPI 1760411680 · Hematology & Oncology Physician · Mount Clemens, MI
Provider details
- NPI number
- 1760411680
- Entity type
- Organization
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Derderian, Owner(586) 493-3440
- License
- 009575 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1080 Harrington St
Suite 202
Mount Clemens, MI 48043-2901
Phone: (586) 493-3440
Fax: (586) 493-3445
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1169
Mount Clemens, MI 48046-1169
Registry dates
- Enumerated
- 2006-07-02
- Last updated
- 2009-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.