DR. BRIAN B LILJENQUIST (NPI# 1841586096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841586096 |
| Entity Type | Individual |
| Full Name | DR. BRIAN B LILJENQUIST |
| Credential | DPM |
| Practice Address |
1250 E 3900 S Ste 440 Salt Lake City UT 84124 |
| Mailing Address |
1250 E 3900 S Ste 440 Salt Lake City UT 84124-1349 |
| Practice Telephone | 8018694100 |
| Practice Fax Number | 8018694119 |
| Mailing Telephone | 8018694100 |
| Mailing Fax Number | 8018694119 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2018-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
8369999-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1250 E 3900 S STE 440 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260550 | Doctors House Calls of Utah, LLC | Clinic/Center | 1250 E 3900 S Ste 440, Salt Lake City, UT 84124-1349 | 2020-09-23 |
| 1326541145 | Robert Chynoweth | Physical Therapist | 1250 E 3900 S Ste 440, Salt Lake City, UT 84124-1349 | 2018-03-18 |
| 1174062376 | Dr. Brian Liljenquist Pllc | Family Medicine | 1250 E 3900 S Ste 440, Salt Lake City, UT 84124 | 2017-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| 1972875524 | Utah Podiatry Group PC | Podiatrist | 2159 S 700 E Ste 150, Salt Lake City, UT 84106 | 2012-01-29 |
| 1891082830 | Selina Sekulic | Podiatrist | 348 E 4500 S Ste 370, Salt Lake City, UT 84107-3906 | 2011-06-28 |
| 1659683381 | Christiaan Horst Goebel | Podiatrist | 4578 S Highland Dr, Suite 380, Salt Lake City, UT 84117-4243 | 2010-07-10 |
| 1639306889 | Daniel L Preece | Podiatrist | 430 N 400 W, Salt Lake City, UT 84103-1229 | 2009-06-15 |
| 1962513820 | Jason Ross Bowen | Podiatrist | 3710 Twinbrook St, Salt Lake City, UT 84109-3714 | 2006-08-31 |
| 1760499180 | Paul Norman Daniels | Podiatrist | 1449 E 3300 S, Salt Lake City, UT 84106-3308 | 2006-08-01 |
| 1710955745 | Flegal Foot & Ankle Clinic, LLC | Podiatrist | 740 E 3900 S, Suite 108, Salt Lake City, UT 84107-2525 | 2006-03-08 |
| 1700865748 | Scott A Clark | Podiatrist | 24 S 1100 E Ste 210, Salt Lake City, UT 84102 | 2006-01-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
Please comment or provide details below to improve the information on DR. BRIAN B LILJENQUIST.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.