WHITE TREE MEDICAL CONSULTANTS LLC
NPI 1497204903
Family Medicine - Addiction Medicine in South Jordan, UT

NPI Status: Active since September 26, 2016

Contact Information

10437 S JORDAN GTWY
SOUTH JORDAN, UT
ZIP 84095
Phone: (801) 877-0705
Fax: (801) 335-5957

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  • Organization
  • Family Medicine
  • Addiction Medicine
  • Accepts Insurance

About WHITE TREE MEDICAL CONSULTANTS LLC

This page provides the complete NPI Profile along with additional information for White Tree Medical Consultants Llc, a provider established in South Jordan, Utah operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1497204903 assigned on September 2016. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated 7 years ago. White Tree Medical Consultants Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Cl Canfield (Owner)

NPI
1497204903
Provider Name
WHITE TREE MEDICAL CONSULTANTS LLC
Entity Type
Organization
Location Address
10437 S JORDAN GTWY SOUTH JORDAN, UT 84095
Location Phone
(801) 877-0705
Location Fax
(801) 335-5957
Mailing Address
PO BOX 709391 SANDY, UT 84070
Mailing Phone
(801) 877-0705
Mailing Fax
(801) 335-5957
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2016
Last Update Date
08-27-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2163WA0400XNursing Service Providers

Registered Nurse
Addiction (Substance Use Disorder)

 
3207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
4261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 
5310500000XNursing & Custodial Care Facilities

Intermediate Care Facility, Mental Illness

 
6324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Bronze Essential 8500 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 1500 - EPO
  • Regence Standard Silver 5000 - EPO
  • Silver 5000 - EPO
  • Silver 6200 - EPO
  • Med Benchmark Expanded Bronze Select Copay Plan - HMO
  • Med Benchmark Expanded Bronze Standardized Plan - HMO
  • Med Benchmark Gold Standardized Plan - HMO
  • Med Benchmark Platinum - HMO
  • Med Benchmark Platinum Standardized Plan - HMO
  • Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
  • Med Benchmark Silver Standardized Plan - HMO
  • Med Gold 1500 Medical Deductible - HMO
  • Signature Benchmark Gold - HMO
  • Signature Benchmark Gold Standardized Plan - HMO
  • Signature Benchmark Silver 5900 Medical Deductible - HMO
  • Signature Benchmark Silver Standardized Plan - HMO
  • Value Benchmark Expanded Bronze Select Copay Plan - HMO
  • Value Benchmark Gold Standardized Plan - HMO
  • Value Benchmark Platinum - HMO
  • Value Benchmark Platinum Standardized Plan - HMO
  • Value Benchmark Silver 5900 Medical Deductible - HMO
  • Value Benchmark Silver Standardized Plan - HMO
  • Value Expanded Bronze 6900 Medical Deductible - HMO
  • Value Gold 1500 Medical Deductible - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CL CANFIELD

Authorized Official Title
OWNER
Authorized Official Phone
(801) 877-0705

Reviews for WHITE TREE MEDICAL CONSULTANTS LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497204903
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418740890
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 4 + 0 + 8 + 9 + 0 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1497204903 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558418673DR. BRYAN VERN SONNTAG MD
Individual
Plastic Surgery10437 S JORDAN GTWY
SOUTH JORDAN, UT 84095
(801) 571-7710
1023199825DR. CHARLES OLIN CANFIELD M.D.
Individual
Family Medicine (Addiction Medicine)10437 S JORDAN GTWY
SOUTH JORDAN, UT 84095
(801) 877-0705
1598005340ON CALL DOC
Organization
Family Medicine (Addiction Medicine)10437 S JORDAN GTWY
SOUTH JORDAN, UT 84095
(801) 877-0705
1891551370 PATRICIA ANNE WILLARDSON APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)10437 S JORDAN GTWY
SOUTH JORDAN, UT 84095
(801) 503-9211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497204903, enumerated in the NPI registry as an "organization" on September 26, 2016

The provider is located at 10437 S Jordan Gtwy South Jordan, Ut 84095 and the phone number is (801) 877-0705

This medical organization specializes in Family Medicine with taxonomy code 207QA0401X with a focus in Addiction Medicine

The provider might be accepting Accepts: Aetna CVS Health, BridgeSpan Health Company,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 26, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.