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NPI 1598005340ActiveOrganization· Family Medicine, Addiction Medicine· South Jordan, UT
Family Medicine, Addiction Medicine in South Jordan, Utah, registered in NPPES in February 2013. The authorized official on file is Charles O. Canfield, MD, Md. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1598005340 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2013 |
| Last updated in NPPES | Jan 13, 2021 |
| Certified by provider | Jan 13, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Addiction Medicine Primary | 207QA0401X | — | — |
| Family Medicine | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AK); Part B Supplier - Clinic/Group Practice (UT) |
|---|
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