Canfield Family Medical Group LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

M8963 Issued in ID

Legal business name

CANFIELD FAMILY MEDICAL GROUP LLC

Doing business as

Canfield Family Medicine

Practice address

700 W Ironwood Dr
Suite 234
Coeur D Alene, ID 83814-2656

Phone

(208) 765-4808

Fax

(208) 676-9824

NPI assigned

Jul 19, 2007

Last updated

Jul 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janice Adele Lindstrom, M.D.

Title

Owner

Phone

(208) 765-4808

Specialties & licenses 1

Addresses

Other names 1

• CANFIELD FAMILY MEDICINE Doing business as

Locations

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1407056237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR",
            "address_2": "SUITE 234",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142656",
            "telephone_number": "208-765-4808",
            "fax_number": "208-676-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR",
            "address_2": "SUITE 234",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142656",
            "telephone_number": "208-765-4808",
            "fax_number": "208-676-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANFIELD FAMILY MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "LINDSTROM",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "ADELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-765-4808",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M8963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANFIELD FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Steven Campbell, LMT
• Barbara Campbell, RPH
• David Michael Campbell, DSOM, LAC
• Katrina Ann Campbell
• Samantha Campbell, ARNP
• Canfield Physical Therapy
• Canfield PT PLLC
• Daniel Edward Cannon, MD
• Danielle Elaine Cannon, LCSW
• Michelle Nicole Cano-Keighley, ARNP

• Specialist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.