House Call Concierge Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HOUSE CALL CONCIERGE MEDICINE, LLC

Practice address

865 Longboat Club Rd
Longboat Key, FL 34228-3803

Phone

(314) 452-3780

Fax

(731) 201-5047

NPI assigned

Jan 16, 2024

Last updated

Jan 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kirk Nielsen O'Donnell, MDNPI 1881972909

Title

Co-Owner, Co-Founder, and Clinician

Phone

(314) 452-3780

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirk N O'Donnell, MD

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1881972909
  Authorized official Same address or phone

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1326809559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PARK RD",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192533",
            "telephone_number": "314-452-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 LONGBOAT CLUB RD",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "342283803",
            "telephone_number": "314-452-3780",
            "fax_number": "731-201-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Park Rd",
            "address_purpose": "LOCATION",
            "city": "Webster Groves",
            "state": "MO",
            "postal_code": "631192533",
            "country_code": "US",
            "telephone_number": "314-452-3780",
            "fax_number": "731-201-5047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOUSE CALL CONCIERGE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "NIELSEN",
        "authorized_official_title_or_position": "CO-OWNER, CO-FOUNDER, AND CLINICIAN",
        "authorized_official_telephone_number": "314-452-3780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Longboat Key, FL
• Providers in Longboat Key, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.