Individual provider Active NPI

Lawrence Russell Canfield, M.D.

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1922217124
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
98-233 Issued in NM
Practice address
66 Avenida Aldea
Santa Fe, NM 87507-9449
Phone
(505) 795-7111
Fax
(505) 795-7112
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 98-233 NM Primary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X 98-233 NM
Immunopathology Physician 207ZI0100X 98-233 NM
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 98-233 NM

Addresses

Primary practice location

66 Avenida Aldea
Santa Fe, NM 87507-9449

Mailing address

66 Avenida Aldea
Santa Fe, NM 87507-9449
Phone (505) 795-7111

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.
Opted out of Medicare
Yes, effective Apr 1, 2006 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98-233NMMDImmunopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey S Sollins MD PC PastSince Jan 30, 2012 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1922217124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 AVENIDA ALDEA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079449",
            "telephone_number": "505-795-7111",
            "fax_number": "505-795-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 AVENIDA ALDEA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079449",
            "telephone_number": "505-795-7111",
            "fax_number": "505-795-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANFIELD",
        "first_name": "LAWRENCE",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "98-233",
            "primary": true
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "NM",
            "license": "98-233",
            "primary": false
        },
        {
            "code": "207ZI0100X",
            "taxonomy_group": "",
            "desc": "Pathology, Immunopathology",
            "state": "NM",
            "license": "98-233",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NM",
            "license": "98-233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.