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SUSAN BALTZ
NPI 1265519623
Nurse Practitioner - Family in Amarillo, TX

Active since November 01, 2006
1416 S HAYDEN ST, AMARILLO, TX 79102(806) 374-1919(806) 379-9213 Get Directions Write a Review

NPPES record last updated: November 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Baltz NPPES

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

SUSAN BALTZ (NPI 1265519623) is a healthcare organization registered as a family in Amarillo, Texas and active in the NPI registry since November 2006. The organization lists Susan A Baltz, Family Nurse Practitioner Owner, as its authorized official.

NPPES Registry Identity

NPI1265519623
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGRAND MEDICAL CLINIC
Location Address1416 S HAYDEN STAmarillo, TX 79102-1635
Mailing Address1416 S Hayden StAmarillo, TX 79102-1635 · (806) 374-1919 · Fax (806) 379-9213
Phone(806) 374-1919
Fax(806) 379-9213
Organization SubpartNo
Authorized OfficialSusan A BaltzFamily Nurse Practitioner Owner · (806) 374-1919
Enumeration DateNovember 1, 2006
Last NPPES UpdateNovember 20, 2009
✔ NPI 1265519623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 251159
Also ListedFamily MedicineTaxonomy 207Q00000X · License K2883 (TX)
1416 S HAYDEN ST, Amarillo, TX 79102
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Other Names 1

Doing Business AsSusan Baltz

Other Identifiers 6

Other8P0790TX · Blue Cross
Medicare UPING70400
Medicare UPINS67920TX
Other092280502TX · Nhic
Medicaid092282501TX
Medicare OSCAR/certification00630KTX

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

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 Grand Medical Clinic's NPI number?

The NPI number for Grand Medical Clinic is 1265519623. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Susan Baltz.

Where is Grand Medical Clinic located?

Grand Medical Clinic is located at 1416 S Hayden St, Amarillo, TX 79102. The listed phone number is (806) 374-1919.

What is Grand Medical Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Grand Medical Clinic was last updated on November 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.