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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SURGICAL OUTREACH ASSOCIATES
NPI 1255239919
Surgery in Brigham City, UT

Active since October 30, 2026
950 MEDICAL DR, BRIGHAM CITY, UT 84302(435) 734-9471 Get Directions Write a Review

NPPES record added: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Surgical Outreach Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGICAL OUTREACH ASSOCIATES (NPI 1255239919) is a healthcare organization registered as a surgery in Brigham City, Utah and active in the NPI registry since October 2026. The organization lists Eric Liedtke, Surgeon Owner, as its authorized official.

NPPES Registry Identity

NPI1255239919
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSURGICAL OUTREACH ASSOCIATES
Location Address950 MEDICAL DRBrigham City, UT 84302-4724
Mailing Address4440 N 250 WOgden, UT 84414-1109
Phone(435) 734-9471
Organization SubpartNo
Authorized OfficialEric LiedtkeSurgeon Owner · (610) 297-1892
Enumeration DateOctober 30, 2026
NPPES CertifiedOctober 30, 2026
✔ NPI 1255239919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
950 MEDICAL DR, Brigham City, UT 84302
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR JOHN HEPWORTH
Speech-Language Pathologist
950 MEDICAL DR
BRIGHAM CITY, UT 84302
Box Elder County (435) 740-0657
ASHDOWN SURGICAL PC
Surgery
950 MEDICAL DR, SUITE 104
BRIGHAM CITY, UT 84302
Box Elder County (435) 723-1114
DR. JONATHAN CHARLES ROCK M.D.
Radiology (Diagnostic Radiology)
950 MEDICAL DR
BRIGHAM CITY, UT 84302
Box Elder County (435) 734-9471
BRIGHAM CITY COMMUNITY HOSPITAL, INC.
General Acute Care Hospital
950 MEDICAL DR
BRIGHAM CITY, UT 84302
Box Elder County (435) 734-4203
PENNY J OGDEN CRNA
Nurse Anesthetist, Certified Registered
950 MEDICAL DR
BRIGHAM CITY, UT 84302
Box Elder County (800) 594-6399
SEAN STANLEY M.D.
Emergency Medicine
950 MEDICAL DR
BRIGHAM CITY, UT 84302
Box Elder County (435) 734-9471
BRIGHAM CITY ORTHOPEDIC CLINIC PC
Orthopaedic Surgery
950 MEDICAL DR, SUITE 106
BRIGHAM CITY, UT 84302
Box Elder County (435) 723-1747
SARAH MARIE FLINT FNP
Hospitalist
950 MEDICAL DR
BRIGHAM CITY, UT 84302
Box Elder County (435) 734-9471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgical Outreach Associates's NPI number?

The NPI number for Surgical Outreach Associates is 1255239919. It was assigned to this organization in the NPPES registry on October 30, 2026.

Where is Surgical Outreach Associates located?

Surgical Outreach Associates is located at 950 Medical Dr, Brigham City, UT 84302. The listed phone number is (435) 734-9471.

What is Surgical Outreach Associates's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Surgical Outreach Associates was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.