Organization Active NPI

Vernon K. Liu MD PC

  • Internal Medicine Physician
  • Sandy, UT
National Provider Identifier
1003144221
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VERNON K. LIU MD PC
Practice address
880 E 9400 S
Suite 102
Sandy, UT 84094-3667
Phone
(801) 576-1118
Fax
(801) 576-1221
NPI assigned
Nov 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Authorized official

Name
Dr. Vernon K Liu
Title
President
Phone
(801) 576-1118

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X UT Primary
Primary Care Clinic/Center 261QP2300X UT

Addresses

Primary practice location

880 E 9400 S
Suite 102
Sandy, UT 84094-3667

Mailing address

880 E 9400 S
Suite 102
Sandy, UT 84094-3667
Phone (801) 576-1118

Other identifiers 1

IdentifierTypeStateIssuer
110185016OtherUTRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

880 E 9400 S
Ste 102
Sandy, UT 84094
Phone (801) 576-1118

NPI Registry JSON

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

{
    "created_epoch": "1259452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1003144221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 E 9400 S",
            "address_2": "SUITE 102",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943667",
            "telephone_number": "801-576-1118",
            "fax_number": "801-576-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 E 9400 S",
            "address_2": "SUITE 102",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943667",
            "telephone_number": "801-576-1118",
            "fax_number": "801-576-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON K. LIU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-29",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-576-1118",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110185016",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.