Andrew Caldwell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5348818-1206 Issued in UT

Practice address

323 N Main St
Tooele, UT 84074-1652

Phone

(435) 315-1111

Fax

(435) 200-1550

NPI assigned

Sep 16, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medix West InjuryGroup PAC ID 1759738057, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJCEDD/Endpoint/EJCEDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medix West Injury

  • Family Medicine Physician
  • Tooele, UT
  • NPI 1891688313

  UT

  Medicare reassignment Care Compare group NPD Authorized official
• University of Utah Community Physicians Group

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1467241554

  UT

  Medicare reassignment
• University of Utah Community Physicians Group

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1124422126
  NPD
• Intermountain Pain Management and Injury, Inc,

  • Interventional Pain Medicine Physician
  • Taylorsville, UT
  • NPI 1972862605
  NPD (past)
• Intermountain Pain Solutions

  • Anesthesiology Physician
  • Taylorsville, UT
  • NPI 1528519089
  NPD (past)

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1679942916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741652",
            "telephone_number": "435-315-1111",
            "fax_number": "435-200-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741652",
            "telephone_number": "435-315-1111",
            "fax_number": "435-200-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-16",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "5348818-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Alice Butler, CPCI
• Rita Josephine Butler, CMHC
• John Patrick Byrne, LCSW
• C Hakes LLC
• C.Hakes,LLC
• Stanley J. Callister, M.D.
• Mindy Carlson
• Ashley Carrubba, LCMHC
• Sara Carstensen, PA-C
• Catherine Carter, APRN, NP-C

• All providers in Tooele, UT
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.