| On Call Doc | |
|
10437 S Jordan Gtwy South Jordan UT 84095-3915 | |
| (801) 877-0705 | |
| (801) 335-5957 |
| Full Name | On Call Doc |
|---|---|
| Speciality | Family Medicine |
| Location | 10437 S Jordan Gtwy, South Jordan, Utah |
| Authorized Official Name and Position | Charles O Canfield (MD) |
| Authorized Official Contact | 8018770705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| On Call Doc 63 E 11400 S # 317 Sandy UT 84070-6705 Ph: (801) 877-0705 | On Call Doc 10437 S Jordan Gtwy South Jordan UT 84095-3915 Ph: (801) 877-0705 |
| NPI Number | 1598005340 |
|---|---|
| Provider Enumeration Date | 02/14/2013 |
| Last Update Date | 01/13/2021 |
| Medicare PECOS PAC ID | 4688812985 |
|---|---|
| Medicare Enrollment ID | O20130528000594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598005340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles O Canfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023199825 PECOS PAC ID: 7113811829 Enrollment ID: I20040212000549 |
| Provider Name | Kyle Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912435421 PECOS PAC ID: 7214208487 Enrollment ID: I20170807000868 |
| Provider Name | Bozena Montes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558778902 PECOS PAC ID: 5395963987 Enrollment ID: I20210106000215 |
C Hung Gee Pa-c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1868 W 9800 S Ste 100, South Jordan, UT 84095 Phone: 801-433-2873 Fax: 801-433-5734 | |
University Of Utah Hospitals And Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84009 Phone: 801-213-4500 | |
Utah Wellness Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1664 W Towne Center Dr Ste D, South Jordan, UT 84095 Phone: 801-495-4444 Fax: 801-495-4444 | |
Pinnacle Medical Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 W South Jordan Pkwy Ste 450, South Jordan, UT 84095 Phone: 801-919-3008 Fax: 801-960-1780 | |
Andrew Robinson D O Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1868 W 9800 S Ste 100, South Jordan, UT 84095 Phone: 801-433-2873 Fax: 801-433-5734 | |
Careatc, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 W South Jordan Pkwy Ste 300, South Jordan, UT 84095 Phone: 801-441-1004 | |
Plunkett Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1868 W 9800 S Ste 100, South Jordan, UT 84095 Phone: 801-433-2873 Fax: 801-433-5734 |