DR. CHARLES OLIN CANFIELD (NPI# 1023199825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023199825 |
| Entity Type | Individual |
| Full Name | DR. CHARLES OLIN CANFIELD |
| Credential | M.D. |
| Practice Address |
10421 S Jordan Gtwy Ste 660 South Jordan UT 84095-3905 |
| Practice Telephone | 3855356996 |
| Practice Fax Number | 8013355957 |
| Mailing Telephone | 8013804488 |
| Mailing Fax Number | 8013316879 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 182809-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
10421 S JORDAN GTWY STE 660 |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598005340 | On Call Doc | Family Medicine | 10421 S Jordan Gtwy, South Jordan, UT 84095-3901 | 2013-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972012359 | Piacitelli Fm LLC | Family Medicine | 1868 W 9800 S Ste 100, South Jordan, UT 84095-4713 | 2017-09-28 |
| 1871990309 | Ihc Health Services Inc | Family Medicine | 1067 W South Jordan Pkwy, South Jordan, UT 84095-8809 | 2014-11-26 |
| 1336406438 | Allegis Care-utah, PC | Family Medicine | 10808 South River Road, Suite 344, South Jordan, UT 84095-6103 | 2012-04-13 |
| 1235465980 | Robert Sterling Bean | Family Medicine | 10926 Shilling Ave, Unit #2053, South Jordan, UT 84095-4340 | 2009-10-29 |
| 1881860229 | Dennis Tucker Harston | Family Medicine | 10421 S Jordan Gtwy Ste 400, South Jordan, UT 84095-3918 | 2008-05-06 |
| 1942313739 | Patrick W Marcroft | Family Medicine | 11444 S Redwood Rd, South Jordan, UT 84095-7803 | 2006-08-16 |
| 1386691251 | Katie A. Julien | Family Medicine | 1868 W 9800 S, Suite 100, South Jordan, UT 84095-4713 | 2006-05-27 |
| 1598738270 | Rodolfo Martinez Ferrate | Family Medicine | 1226 W South Jordan Pkwy, Suite C, South Jordan, UT 84095-6023 | 2006-02-11 |
| 1629695341 | Meghan Chandell Newman | Family Medicine | 3556 W 9800 S Ste 101, South Jordan, UT 84095-3221 | 2020-06-29 |
| 1104348879 | Amie Kime | Family Medicine | 3556 W 9800 S Ste 101, South Jordan, UT 84095-3221 | 2017-07-13 |
| Find all providers in SOUTH JORDAN | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
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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.