Provider Demographics
NPI:1588626642
Name:CANFIELD, ANTHONY J (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:J
Last Name:CANFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:#210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-301-9014
Mailing Address - Fax:303-832-0988
Practice Address - Street 1:1601 E 19TH AVE
Practice Address - Street 2:#6000
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1216
Practice Address - Country:US
Practice Address - Phone:303-301-9014
Practice Address - Fax:303-832-0988
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS0427942174400000X
CO35011208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO90423747Medicaid
KS100396510AMedicaid
CO90423747Medicaid
COCOAAA2421Medicare PIN
KSG24753Medicare UPIN
KS100396510AMedicaid