Individual provider Active NPI

Eugenia Baldizon, PNP

  • Pediatric Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1114397411
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP129308 Issued in TX
Practice address
5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561
Phone
(210) 614-5539
Fax
(210) 614-5548
NPI assigned
Sep 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 758894 TX
Pediatric Nurse Practitioner 363LP0200X AP129308 TX Primary

Addresses

Primary practice location

5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561

Mailing address

5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561
Phone (210) 614-5539

Other names 1

  • Olga Eugenia Baldizon Izquierdo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211122000184 TX Practitioner - Nurse Practitioner 0244629822 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
758894TXMDRegistered Nurse
AP129308TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. CurrentSince Aug 10, 2021 Accepting new patients

Locations

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412

333 N Santa Rosa
Ste 2658
San Antonio, TX 78207
Phone (210) 704-3796

520 Madison Oak Dr
#2W
San Antonio, TX 78258

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

5430 Fredericksburg Rd
Ste 508
San Antonio, TX 78229
Phone (210) 541-8281

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000

7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000

3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081

5106 W Loop 1604 N
San Antonio, TX 78251
Phone (210) 575-0355

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Interoperability endpoints

  • Direct secure messaging: ebaldizon420721@christushealth.direct-ci.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1114397411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 FREDERICKSBURG RD STE 508",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293561",
            "telephone_number": "210-614-5539",
            "fax_number": "210-614-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 FREDERICKSBURG RD STE 508",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293561",
            "telephone_number": "210-614-5539",
            "fax_number": "210-614-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDIZON",
        "first_name": "EUGENIA",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "758894",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP129308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLGA",
            "last_name": "BALDIZON IZQUIERDO",
            "middle_name": "EUGENIA",
            "credential": "PNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.