Organization Active NPI

Anthony J Canfield MD Facs, L

  • Surgery Physician
  • Liberal, KS
National Provider Identifier
1487841474
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0427942 Issued in KS
Legal business name
ANTHONY J CANFIELD MD FACS, L
Practice address
1411 W 15TH St
Suite 302
Liberal, KS 67901-2288
Phone
(620) 624-4946
Fax
(620) 624-0952
NPI assigned
Oct 3, 2007
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Anthony James Canfield, MD, FACS
Title
Owner/Provider
Phone
(620) 624-4946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 0427942 KS Primary

Addresses

Primary practice location

1411 W 15TH St
Suite 302
Liberal, KS 67901-2288

Mailing address

1411 W 15TH St
Suite 302
Liberal, KS 67901-2288
Phone (620) 624-4946

Other identifiers 3

IdentifierTypeStateIssuer
100396510AMedicaidKS
111368OtherKSBCBSKS
DG2696OtherKSMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1487841474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W 15TH ST",
            "address_2": "SUITE 302",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012288",
            "telephone_number": "620-624-4946",
            "fax_number": "620-624-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W 15TH ST",
            "address_2": "SUITE 302",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012288",
            "telephone_number": "620-624-4946",
            "fax_number": "620-624-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J CANFIELD MD FACS, L",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "CANFIELD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "620-624-4946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACS"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "KS",
            "license": "0427942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100396510A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKS",
            "identifier": "111368",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG2696",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.