Mark J Cacciamani MA BO INC

Address: 2011 W 4700, Taylorsville, UT 84118-1107
Phone: 8019664286

Mark J Cacciamani (NPI# 1063500163, PAC ID# 9537057773) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1063500163
PAC ID by PECOS 9537057773
Professional Enrollment ID I20040309000328
Full Name Mark J Cacciamani
Organization Legal Name MA BO INC
Address 2011 W 4700
Taylorsville
UT 84118-1107
Phone Number 8019664286
Gender M
Credential MD
Medical School GEORGETOWN UNIVERSITY OF MEDICINE
Graduation Year 1999
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 1254399652
Number of Group Practice Members 6
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y
Participated in Million Hearts Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460001 UTAH VALLEY HOSPITAL
460044 ALTA VIEW HOSPITAL
460023 AMERICAN FORK HOSPITAL
460058 RIVERTON HOSPITAL
460006 LDS HOSPITAL

Other Locations

Address Phone Organization
2011 W 4700, Taylorsville, UT 84118-1107 8019664286 MA BO INC

Organization Information

Organization Legal Name MA BO INC
Physicians 5

Physicians with the same location

Name Specialty Organization Address
Sandra B Jense NURSE PRACTITIONER MA BO INC 522 E 100, Salt Lake City
Luann Jacobs Peterson NURSE PRACTITIONER MA BO INC 522 E 100, Salt Lake City
Ann E Webb NURSE PRACTITIONER MA BO INC 522 E 100, Salt Lake City
Sharon A Strong FAMILY PRACTICE MA BO INC 2011 W 4700, Taylorsville

Office Location

Street Address 2011 W 4700
City TAYLORSVILLE
State UT
Zip 84118-1107

Physicians with the same location

Name Specialty Organization Address
Sharon A Strong FAMILY PRACTICE MA BO INC 2011 W 4700, Taylorsville

Competitor

Search similar physicians

City TAYLORSVILLE
Zip Code 84118
Specialty FAMILY PRACTICE
City + Specialty TAYLORSVILLE + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.