| 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 |
| Certification Date | 04/04/2024 |
| 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 | Ashley Reeder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639218969 PECOS PAC ID: 7618071036 Enrollment ID: I20070324000011 |
| Provider Name | Edith a Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134457682 PECOS PAC ID: 4082756523 Enrollment ID: I20100122000172 |
| Provider Name | Jennifer K Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245425610 PECOS PAC ID: 7214120559 Enrollment ID: I20101019001590 |
| Provider Name | Keith J. Castleton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730168071 PECOS PAC ID: 0840345260 Enrollment ID: I20111022000072 |
| Provider Name | Corey B Dahl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376891366 PECOS PAC ID: 6709035041 Enrollment ID: I20130724000380 |
| 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 | Daniel James Mcatee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215057617 PECOS PAC ID: 6608960323 Enrollment ID: I20180212002212 |
| Provider Name | Shanlee Jo Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457852378 PECOS PAC ID: 5799047619 Enrollment ID: I20180313000291 |
| Provider Name | Jared Glen Jackman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366994311 PECOS PAC ID: 6204119209 Enrollment ID: I20180518000119 |
| Provider Name | Richard Dwain Persons |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447548128 PECOS PAC ID: 8325210115 Enrollment ID: I20180607001724 |
| Provider Name | Jan Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124449285 PECOS PAC ID: 7113158981 Enrollment ID: I20190123002823 |
| Provider Name | Colby Brett Bliss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609324151 PECOS PAC ID: 6406126887 Enrollment ID: I20190312000142 |
| Provider Name | Andrew Brice Heinecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447819974 PECOS PAC ID: 1850628124 Enrollment ID: I20190808002796 |
| Provider Name | Vasanth Jayaraman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639714082 PECOS PAC ID: 9335575356 Enrollment ID: I20200210002374 |
| Provider Name | Stayler Mcomie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932749538 PECOS PAC ID: 3173953106 Enrollment ID: I20200415001642 |
| Provider Name | Maria Guadalupe Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538598065 PECOS PAC ID: 1658500764 Enrollment ID: I20210707000654 |
| Provider Name | Tristan Roman Lubina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699360065 PECOS PAC ID: 7315341526 Enrollment ID: I20210810003999 |
| Provider Name | Steven James Barker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083387732 PECOS PAC ID: 1658760392 Enrollment ID: I20211117003326 |
| Provider Name | Claire Ackerman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083343438 PECOS PAC ID: 1557740594 Enrollment ID: I20220621003121 |
| Provider Name | Marcus Pace |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083017081 PECOS PAC ID: 5294043873 Enrollment ID: I20220830002727 |
| Provider Name | Carolee Cutler Peck |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588899488 PECOS PAC ID: 7315102795 Enrollment ID: I20220920002689 |
| Provider Name | Sarah Elizabeth Driggs White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073183620 PECOS PAC ID: 4880060912 Enrollment ID: I20221014001489 |
| Provider Name | Albert Pope |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164158127 PECOS PAC ID: 7315314986 Enrollment ID: I20221110002431 |
| Provider Name | Rachelle Flinn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841710654 PECOS PAC ID: 4789042599 Enrollment ID: I20230626002250 |
| Provider Name | Alyxandria Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659053924 PECOS PAC ID: 9638533821 Enrollment ID: I20230906002430 |
| Provider Name | Laura Stanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609469816 PECOS PAC ID: 6406290279 Enrollment ID: I20240220003204 |
| Provider Name | Gibran Borja |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679125934 PECOS PAC ID: 4082051339 Enrollment ID: I20240321002315 |
| Provider Name | Dennis M Keyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649038159 PECOS PAC ID: 7012357643 Enrollment ID: I20240430003276 |
| Provider Name | Likio Pope |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174016695 PECOS PAC ID: 3375984339 Enrollment ID: I20240508003939 |
| Provider Name | Kylee Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104508357 PECOS PAC ID: 6103268180 Enrollment ID: I20240522001239 |
| Provider Name | Jessica Judd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437857125 PECOS PAC ID: 6901248715 Enrollment ID: I20240524001736 |
| Provider Name | Ryan R Busch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831590504 PECOS PAC ID: 9133664279 Enrollment ID: I20240712001062 |
| Provider Name | Rachel Gathro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619748464 PECOS PAC ID: 5799294252 Enrollment ID: I20250604004347 |
| Provider Name | Maelin Sorenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982384996 PECOS PAC ID: 5991217424 Enrollment ID: I20250620003344 |
| Provider Name | Justin Ingraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437954260 PECOS PAC ID: 2567974504 Enrollment ID: I20250625000849 |
| Provider Name | Selene Ingraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780577189 PECOS PAC ID: 4385158815 Enrollment ID: I20250708002003 |
| Provider Name | Indira Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790552925 PECOS PAC ID: 2769975838 Enrollment ID: I20251205003352 |
| Provider Name | Emily Tubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669295630 PECOS PAC ID: 8527538586 Enrollment ID: I20260531000122 |
Ted R Schultz MD LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 866 Padley St, Salt Lake City, UT 84108 Phone: 801-202-4892 |
Intermountain Healthcare Flu Shot Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 776 N Terminal Dr, Salt Lake City, UT 84122 Phone: 801-292-6100 |
Ldsh Cancer Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 9th Ave, Salt Lake City, UT 84103 Phone: 801-442-1400 |
Bmt Division Department of University of Utah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1950 Circle Of Hope Dr, Salt Lake City, UT 84112 Phone: 801-581-2121 |
All for Women Healthcare, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605 E 3300 S, Salt Lake City, UT 84109 Phone: 801-746-7467 Fax: 801-746-7469 |
University of Utah Hospital Infectious Disease Division Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-587-6336 |