DR. SUSAN R STAUDT MD NPI 1043266224

NPI Information

  • NPI: 1043266224
  • Provider Name: DR. SUSAN R STAUDT, MD
  • Classification: Anesthesiology - 207LP3000X
  • Specialization: Pediatric Anesthesiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: B515 MAYO MEMORIAL BUILDING
    420 DELAWARE ST SE
    MINNEAPOLIS, MN
    ZIP 55455
  • Phone: (612) 624-9990

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NPI Details

DR. Susan R Staudt, MD is a pediatric anesthesiology in Minneapolis, MN with 38 years of experience. The provider is an anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. DR. Susan R Staudt, MD NPI is 1043266224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:1988

The provider's business location address is:

B515 MAYO MEMORIAL BUILDING
420 DELAWARE ST SE
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 624-9990
Fax: (612) 626-2363

The NPI 1043266224 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 10/5/2020.

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
1207L00000XAnesthesiology43128WISCONSINNo
2207LP3000XAnesthesiologyPediatric Anesthesiology66314MINNESOTANo
3207LP3000XAnesthesiologyPediatric Anesthesiology43128WISCONSINYes

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
1006006261KOTHERHUMANA
21043266224MEDICAIDWISCONSIN

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

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