| House Call Doctors | |
|
466 E 500 S Ste 200 Salt Lake City UT 84111-3350 | |
| (801) 485-5055 | |
| (801) 467-3296 |
| Full Name | House Call Doctors |
|---|---|
| Speciality | Family Medicine |
| Location | 466 E 500 S Ste 200, Salt Lake City, Utah |
| Authorized Official Name and Position | Caitlin Cacciatore (PRACTICE MANAGER) |
| Authorized Official Contact | 8014855055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| House Call Doctors 466 E 500 S Ste 200 Salt Lake City UT 84111-3350 Ph: (801) 485-5055 | House Call Doctors 466 E 500 S Ste 200 Salt Lake City UT 84111-3350 Ph: (801) 485-5055 |
| NPI Number | 1740461219 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 07/19/2024 |
| Medicare PECOS PAC ID | 1254399652 |
|---|---|
| Medicare Enrollment ID | O20050103000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740461219 | NPI | - | NPPES |
| 000057838 | Other | UT | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Utah) | Primary |
| Provider Name | Mark J Cacciamani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063500163 PECOS PAC ID: 9537057773 Enrollment ID: I20040309000328 |
| Provider Name | Trenaisa M Nay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447373451 PECOS PAC ID: 8022066208 Enrollment ID: I20050104000859 |
| Provider Name | Perrine J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447222849 PECOS PAC ID: 7517915044 Enrollment ID: I20050111000473 |
| Provider Name | Edith A Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134457682 PECOS PAC ID: 4082756523 Enrollment ID: I20100122000172 |
| Provider Name | Keith J. Castleton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730168071 PECOS PAC ID: 0840345260 Enrollment ID: I20111022000072 |
| Provider Name | Sandra B Jense |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104258763 PECOS PAC ID: 0941423404 Enrollment ID: I20140602001150 |
| Provider Name | Lauren Lightfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104296623 PECOS PAC ID: 1355641002 Enrollment ID: I20151201003315 |
| Provider Name | Gwenda Sue Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548291818 PECOS PAC ID: 0547526923 Enrollment ID: I20171117003128 |
| Provider Name | Shanlee Jo Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457852378 PECOS PAC ID: 5799047619 Enrollment ID: I20180313000291 |
| Provider Name | Jan Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124449285 PECOS PAC ID: 7113158981 Enrollment ID: I20190123002823 |
| Provider Name | Andrew Brice Heinecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447819974 PECOS PAC ID: 1850628124 Enrollment ID: I20190808002796 |
| Provider Name | Tristan Roman Lubina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699360065 PECOS PAC ID: 7315341526 Enrollment ID: I20210810003999 |
| Provider Name | Karen Fronk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982333514 PECOS PAC ID: 2961881669 Enrollment ID: I20220627003264 |
| Provider Name | Carolee Cutler Peck |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588899488 PECOS PAC ID: 7315102795 Enrollment ID: I20220920002689 |
| Provider Name | Alyxandria Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659053924 PECOS PAC ID: 9638533821 Enrollment ID: I20230906002430 |
| Provider Name | Dennis M Keyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649038159 PECOS PAC ID: 7012357643 Enrollment ID: I20240430003276 |
| Provider Name | Kylee Kay Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104508357 PECOS PAC ID: 6103268180 Enrollment ID: I20240522001239 |
| Provider Name | Jessica Jean Judd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437857125 PECOS PAC ID: 6901248715 Enrollment ID: I20240524001736 |
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