SUSAN J GODDARD DO
NPI 1245215201
Emergency Medicine - Pediatric Emergency Medicine in Minneapolis, MN

Q: What is Susan Goddard's NPI number?

The NPI number for Susan Goddard is 1245215201. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Q: What is Susan Goddard's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Q: When was this NPI record last updated?

The NPPES record for Susan Goddard was last updated on November 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 13, 2005

2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(651) 220-6912 Get Directions Write a Review

NPPES record last updated: November 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Susan J Goddard Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN J GODDARD DO (NPI 1245215201) is an individual pediatric emergency medicine provider in Minneapolis, Minnesota, licensed in Minnesota (34818) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1245215201

Entity TypeIndividualFemale

Primary Taxonomy207PP0204X

Provider Legal NameSUSAN J GODDARDCredential: DO

Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518

Mailing Address11468 Avery DrInver Grove Heights, MN 55077-5483 · (651) 905-1146

Phone(651) 220-6912

Sole ProprietorNo

Enumeration DateDecember 13, 2005

Last NPPES UpdateNovember 10, 2008

✔ NPI 1245215201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PP0204X

License✔ Licensed in MN · 34818

Definition

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

Also ListedPediatricsTaxonomy 208000000X · License 34818 (MN)

2525 CHICAGO AVE, Minneapolis, MN 55404

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Other Identifiers 3

Medicare ID-Type Unspecified79373AZ

Medicare UPING70945

Medicaid858102AZ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE ELAINE MCNAUGHTON LICSW

Social Worker (Clinical)