DR. SUSAN RENEE CLANZY M.D. NPI 1568435634

NPI Information

  • NPI: 1568435634
  • Provider Name: DR. SUSAN RENEE CLANZY, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 1804 W NORTH AVE
    BALTIMORE, MD
    ZIP 21217
  • Phone: (410) 685-6331

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NPI Details

DR. Susan Renee Clanzy, M.D. is a general practice in Baltimore, MD. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Susan Renee Clanzy, M.D. NPI is 1568435634. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1804 W NORTH AVE
BALTIMORE, MD
ZIP 21217-621
Phone: (410) 685-6331
Fax: (410) 685-6332

The enumeration date for this NPI number is 2/9/2006 and was last updated on 12/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeD0060902MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13364208 00MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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