Provider Type Icon

DR. CHARLES OLIN CANFIELD M.D. NPI 1023199825


NPI Information

NPI: 1023199825
Provider Name: DR. CHARLES OLIN CANFIELD, M.D.
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Organization: SALT LAKE BEHAVIORAL HEALTH LLC

PECOS Registration: Yes

Address:
10437 S JORDAN GTWY
SOUTH JORDAN, UT
ZIP 84095
Phone: (801) 877-0705
Get Directions

DR. Charles Olin Canfield, M.D. is an addiction medicine family medicine in South Jordan, UT with 37 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Charles Olin Canfield, M.D. NPI is 1023199825. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:1987

The provider's business location address is:

10437 S JORDAN GTWY
SOUTH JORDAN, UT
ZIP 84095-915
Phone: (801) 877-0705
Fax: (801) 335-5957

The NPI 1023199825 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 1/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine182809-1205UTAHNo
2207QA0401XFamily MedicineAddiction Medicine182809-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.