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
- 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
- Code Navigator
Location Map
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) |
---|---|---|---|---|
1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
2 | 163WA0400X | Nursing Service Providers | Registered Nurse | |
3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
4 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | |
5 | 310500000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Mental Illness | |
6 | 324500000X | Residential 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.
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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. | |||||||||
1 | 4 | 9 | 7 | 2 | 0 | 4 | 9 | 0 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 18 | 7 | 4 | 0 | 8 | 9 | 0 | |
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 = 3 | 3 |
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 |
---|---|---|---|
1558418673 | DR. BRYAN VERN SONNTAG MD Individual | Plastic Surgery | 10437 S JORDAN GTWY SOUTH JORDAN, UT 84095 (801) 571-7710 |
1023199825 | DR. CHARLES OLIN CANFIELD M.D. Individual | Family Medicine (Addiction Medicine) | 10437 S JORDAN GTWY SOUTH JORDAN, UT 84095 (801) 877-0705 |
1598005340 | ON 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].
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