Active NPI
Vernon K Liu, MD
- Internal Medicine Physician
- Sandy, UT
National Provider Identifier
1790843373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 175659-1205
- Practice address
- 880 E 9400 S Ste 102
Sandy, UT 84094-4139 - Phone
- (801) 576-1118
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 175659-1205 | UT | Primary |
Addresses
Primary practice location
880 E 9400 S Ste 102
Sandy, UT 84094-4139
Mailing address
880 E 9400 S Ste 102
Sandy, UT 84094-4139
Phone (801) 576-1118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1790843373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 E 9400 S STE 102",
"city": "SANDY",
"state": "UT",
"postal_code": "840944139",
"telephone_number": "801-576-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 E 9400 S STE 102",
"city": "SANDY",
"state": "UT",
"postal_code": "840944139",
"telephone_number": "801-576-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "VERNON",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "175659-1205",
"primary": true
}
],
"identifiers": [],
"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 Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.