Physician House Calls, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1711891205 Issued in UT

Legal business name

PHYSICIAN HOUSE CALLS, INC.

Practice address

554 S 800 E
Apt. a
Salt Lake City, UT 84102-2931

Phone

(801) 557-4595

Fax

(801) 596-8080

NPI assigned

Jun 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bonnie J Lee, M.D.NPI 1790779106

Title

Owner

Phone

(801) 557-4595

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bonnie J Lee, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • SLC, UT
  • NPI 1790779106
  NPD (past) Authorized official
• David R Miller, PA-C

  • Physician Assistant
  • Ogden, UT
  • NPI 1942419049
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1093743155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2106",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840912106",
            "telephone_number": "801-557-4595",
            "fax_number": "801-596-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 S 800 E",
            "address_2": "APT. A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022931",
            "telephone_number": "801-557-4595",
            "fax_number": "801-596-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN HOUSE CALLS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-557-4595",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "1711891205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790779106",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kanlayanee Phothiworn
• Tenzin Kunsang Phunrab, APRN
• Physical Medicine and Rehabilitation Utah PLLC
• Physical Therapy and Sports
• Physician Home Care of Utah,L.C.
• Physician Management Services of Utah II, LLC
• Physician Specialty Care of Utah
• Physician Wound Care Specialists of Utah
• Physicians Laser Center
• Physicians Medical Group

• Family Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.