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DR. CONNOR STAUDER DO
NPI 1467202820
Student in an Organized Health Care Education/Training Program in Wpafb, OH

Active since March 26, 2024PECOS Enrolled
4881 SUGAR MAPLE DR, WPAFB, OH 45433(937) 257-0837 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2026, Dec 6, 2024, Jul 26, 2024 and 1 more (4 updates tracked since 2024).

About Dr. Connor Stauder Do NPPES

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

DR. CONNOR STAUDER DO (NPI 1467202820) is an individual student in an organized health care education/training program in Wpafb, Ohio and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467202820
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CONNOR STAUDERCredential: DO
Location Address4881 SUGAR MAPLE DRWpafb, OH 45433-5529
Mailing Address4881 Sugar Maple DrWpafb, OH 45433-5529
Phone(937) 257-0837
Sole ProprietorNo
Enumeration DateMarch 26, 2024
Last NPPES UpdateMarch 18, 20264 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1467202820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedMilitary Health Care ProviderTaxonomy 171000000X
4881 SUGAR MAPLE DR, Wpafb, OH 45433
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Connor Stauder Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MR. JAMES REBELLO III
Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Greene County (937) 257-9014
CARLA HUELSKAMP PHARMD
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9696
JOHN ALAN ARTHUR
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-4482
ALEXIS D OWEN
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-1574
GREGORY JAMES MORSE M.D.
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9679
KENDRA M. SCHMUCK RD LD
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-8815
MATTHEW PHILIP SCULLY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (616) 717-0169
KAREN LEWIS RTT
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-4159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connor Stauder's NPI number?

The NPI number for Connor Stauder is 1467202820. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Connor Stauder located?

Connor Stauder practices at 4881 Sugar Maple Dr, Wpafb, OH 45433. The listed phone number is (937) 257-0837.

What is Connor Stauder's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Connor Stauder enrolled in Medicare?

Yes. Connor Stauder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Stauder was last updated on March 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.