JEFFREY R. CANHAM M.D. – NPI #1770582983
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

JEFFREY CANHAM is an urologist located in DECATUR, IL. NPPES has assigned the NPI number 1770582983 to JEFFREY CANHAM on July 19, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 12 years ago on Aug 20, 2014. 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 JEFFREY CANHAM below.

NPI Profile for
JEFFREY R. CANHAM

NPI Number
1770582983
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEFFREY R. CANHAM
Credentials
M.D.
Primary location
302 W HAY ST
SUITE 200
DECATUR, IL 62526-4167
Phone: (217) 877-8925 Fax: (217) 877-0020
Mailing address
4431 COUNTRY MANOR CT
DECATUR, IL 62521-2520
Phone: (217) 422-8300 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for JEFFREY CANHAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036060206
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
208800000X
- Urology (Primary)
IL 036-060206

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.