ON CALL DOC, LLC OCD – NPI #1598005340
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

ON CALL DOC, LLC OCD is a provider located in SOUTH JORDAN, UT. NPPES has assigned the NPI number 1598005340 to ON CALL DOC, LLC OCD on February 14, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ON CALL DOC, LLC OCD” is a dba name, the actual legal business name for this organization is ON CALL DOC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 5 years ago on Jan 13, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ON CALL DOC, LLC OCD below.

NPI Profile for
ON CALL DOC

NPI Number
1598005340
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ON CALL DOC
Doing Business As (dba): ON CALL DOC, LLC OCD
Primary location
10437 S JORDAN GTWY
SOUTH JORDAN, UT 84095-3915
Phone: (801) 877-0705 Fax: (801) 335-5957
Mailing address
63 E 11400 S # 317
SANDY, UT 84070-6705
Phone: (801) 877-0705 Fax: (801) 335-5957
Organization Subpart
No
Authorized Official
CHARLES CANFIELD
MD
Phone: (801) 877-0705
Updated
Certification Date
Jan 13, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.