Medspa M.D. LLC
NPI 1871848614ActiveOrganization· General Practice· Baltimore, MD
General Practice in Baltimore, Maryland, registered in NPPES in July 2012. The authorized official on file is Susan Renee Clanzy, M.D., Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1871848614 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2012 |
| Last updated in NPPES | Dec 10, 2025 |
| Certified by provider | Dec 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | D0060902 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
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