Provider Type Icon

ON CALL DOC NPI 1598005340


NPI Information

NPI: 1598005340
Provider Name: ON CALL DOC

Doing Business As: ON CALL DOC, LLC OCD

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 46D2168953

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

ON CALL DOC is an addiction medicine family medicine in South Jordan, UT. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. ON CALL DOC NPI is 1598005340. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As On Call Doc, Llc Ocd.

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 provider's authorized official is Charles O Canfield .
The authorized official title is Md and has the following contact phone number (801) 877-0705.

The CLIA number assigned to this NPI record is 46D2168953 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2013 and was last updated on 1/13/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207QA0401XFamily MedicineAddiction MedicineYes

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: 5/5/2024

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.