Organization Active NPI

Susan Kutz, MD PA

  • Internal Medicine Physician
  • Midland, TX
National Provider Identifier
1295920585
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K6634 Issued in TX
Legal business name
SUSAN KUTZ, MD PA
Practice address
1811 W Wall St
Midland, TX 79701-6531
Phone
(432) 684-5590
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Susan Kutz
Title
President
Phone
(432) 684-5590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X K6634 TX Primary

Addresses

Primary practice location

1811 W Wall St
Midland, TX 79701-6531

Mailing address

1811 W Wall St
Midland, TX 79701-6531
Phone (432) 684-5590

National Provider Directory

National Provider Directory

Locations

1811 W Wall St
Midland, TX 79701
Phone (432) 219-2170

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1295920585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 W WALL ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016531",
            "telephone_number": "432-684-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 W WALL ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016531",
            "telephone_number": "432-684-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN KUTZ, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "KUTZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-684-5590",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.