| Dr Tomas E Liskutin, MD | |
|
5316 S Woodrow St Ste 200, Murray, UT 84107-5479 | |
| (801) 747-1020 | |
| (801) 747-1023 |
| Full Name | Dr Tomas E Liskutin |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 7 Years |
| Location | 5316 S Woodrow St Ste 200, Murray, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770089005 | NPI | - | NPPES |
| 200124796 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 13901333-1205 (Utah) | Primary |
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 2023006696 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Medical Center | Murray, UT | Hospital |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Tomas E Liskutin Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184450587 PECOS PAC ID: 9739618596 Enrollment ID: O20250123000529 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tomas E Liskutin, MD 5316 S Woodrow St Ste 200, Murray, UT 84107-5479 Ph: (801) 747-1020 | Dr Tomas E Liskutin, MD 5316 S Woodrow St Ste 200, Murray, UT 84107-5479 Ph: (801) 747-1020 |
Yvonne Potter Fuellenbach, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5848 Fashion Blvd Ste 110, Murray, UT 84107 Phone: 801-314-4130 Fax: 801-314-4011 | |
Brian W Fukushima, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5316 S Woodrow St Ste 200, Murray, UT 84107 Phone: 801-747-1020 Fax: 801-747-1023 | |
Dr. Christopher Reid West, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 120, Murray, UT 84107 Phone: 801-314-4900 Fax: 801-314-4919 | |
David Christopher Evans, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5316 S Woodrow St Ste 200, Murray, UT 84107 Phone: 801-747-1020 | |
Stephen Warner, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5323 South Woodrow Street, Suite 200, Murray, UT 84107 Phone: 801-747-1020 Fax: 801-747-1023 | |
Dr. William Frederick Gowski, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5848 Fashion Blvd, Murray, UT 84107 Phone: 801-314-4808 Fax: 801-314-4919 | |
Dr. Troy Michael Gorman, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 120, Murray, UT 84107 Phone: 801-314-4900 Fax: 801-314-4919 |