Individual provider Active NPI

Marta Canfield, MD

  • Family Medicine Physician
  • Addison, NY
National Provider Identifier
1235364217
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
257166 Issued in NY
Practice address
15 Community Dr
Addison, NY 14801-1140
Phone
(607) 359-2291
Fax
(607) 359-2294
NPI assigned
May 20, 2009
Last updated
Feb 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 257166 NY Primary

Addresses

Primary practice location

15 Community Dr
Addison, NY 14801-1140

Mailing address

722 W Water St
Elmira, NY 14905-2435
Phone (607) 271-2050

Other identifiers 2

IdentifierTypeStateIssuer
03244382MedicaidNY
102697012MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
257166NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canfield Integrated Medical Arts PLLC Family Medicine Current Accepting new patients
Canfield Integrative MD, PLLC Family Medicine Current Accepting new patients
Chemung Medical Services PC Family Medicine Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients
Arnot Medical Services PLLC Family Medicine PastSince Apr 1, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marta.canfield@393409484357636.direct.elationemr.com
  • Direct secure messaging: marta.canfield@728221471670276.direct.elationemr.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1235364217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 W WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052435",
            "telephone_number": "607-271-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COMMUNITY DR",
            "city": "ADDISON",
            "state": "NY",
            "postal_code": "148011140",
            "telephone_number": "607-359-2291",
            "fax_number": "607-359-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANFIELD",
        "first_name": "MARTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "257166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03244382",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102697012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, NY

Sources for this page

Verify at the official NPI Registry.