| Dr Charles Olin Canfield, MD | |
|
10437 S Jordan Gtwy, South Jordan, UT 84095-3915 | |
| (801) 877-0705 | |
| (801) 335-5957 |
| Full Name | Dr Charles Olin Canfield |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 10437 S Jordan Gtwy, South Jordan, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023199825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 182809-1205 (Utah) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 182809-1205 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Salt Lake Behavioral Health Llc | 6709915473 | 6 |
| Entity Name | Salt Lake Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295066116 PECOS PAC ID: 6709915473 Enrollment ID: O20120315000189 |
| Entity Name | On Call Doc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598005340 PECOS PAC ID: 4688812985 Enrollment ID: O20130528000594 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Olin Canfield, MD Po Box 709391, Sandy, UT 84070-9391 Ph: (801) 877-0705 | Dr Charles Olin Canfield, MD 10437 S Jordan Gtwy, South Jordan, UT 84095-3915 Ph: (801) 877-0705 |
Lisa Marie Hanson, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4538 W South Jordan Pkwy Unit 110, South Jordan, UT 84009 Phone: 801-661-6052 | |
Ryan C Jones, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11444 S Redwood Rd, South Jordan, UT 84095 Phone: 801-253-5900 | |
Dr. Joseph Barney Stanford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84095 Phone: 801-213-4500 | |
Dr. David Gareth Owen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84095 Phone: 801-213-4500 Fax: 801-585-3655 | |
Michelle L Palmer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 W South Jordan Pkwy, Suite 102, South Jordan, UT 84095 Phone: 801-508-3111 Fax: 801-508-3105 | |
Annliza Lachica Piacitelli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1868 W 9800 S, Ste 100, South Jordan, UT 84095 Phone: 801-433-2873 |