Organization Active NPI

Susan B Goetz MD PA

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1346493756
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUSAN B GOETZ MD PA
Practice address
1920 Medi Park Dr
Suite 3
Amarillo, TX 79106-2187
Phone
(806) 352-2229
Fax
(806) 352-6935
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Susan Goetz, MD
Title
President
Phone
(806) 352-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1920 Medi Park Dr
Suite 3
Amarillo, TX 79106-2187

Mailing address

1920 Medi Park Dr
Suite 3
Amarillo, TX 79106-2187
Phone (806) 352-2229

Other identifiers 1

IdentifierTypeStateIssuer
59RWOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

1920 Medi Park Dr
Ste 3
Amarillo, TX 79106
Phone (806) 352-2229

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1346493756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MEDI PARK DR",
            "address_2": "SUITE 3",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062187",
            "telephone_number": "806-352-2229",
            "fax_number": "806-352-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MEDI PARK DR",
            "address_2": "SUITE 3",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062187",
            "telephone_number": "806-352-2229",
            "fax_number": "806-352-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN B GOETZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "GOETZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-352-2229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59RW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.