Active NPI
Tomas E Liskutin MD PC
- Orthopaedic Surgery Physician
- Murray, UT
National Provider Identifier
1184450587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- TOMAS E LISKUTIN MD PC
- Practice address
- 5316 S Woodrow St Ste 200
Murray, UT 84107-5479 - Phone
- (801) 747-1020
- NPI assigned
- Sep 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tomas Liskutin, MD
- Title
- President
- Phone
- (801) 747-1020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
5316 S Woodrow St Ste 200
Murray, UT 84107-5479
Mailing address
5316 S Woodrow St Ste 200
Murray, UT 84107-5479
Phone (801) 747-1020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726012800000",
"number": "1184450587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5316 S WOODROW ST STE 200",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075479",
"telephone_number": "801-747-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5316 S WOODROW ST STE 200",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075479",
"telephone_number": "801-747-1020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOMAS E LISKUTIN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A",
"authorized_official_last_name": "LISKUTIN",
"authorized_official_first_name": "TOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-747-1020",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.