SUSAN J. GODDARD DO – NPI #1245215201
Emergency Medicine

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.

SUSAN GODDARD is a physician located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1245215201 to SUSAN GODDARD on December 13, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207PP0204X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Pediatric Emergency Medicine

The NPI profile was previously updated about 18 years ago on Nov 10, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUSAN GODDARD below.

NPI Profile for
SUSAN J. GODDARD

NPI Number
1245215201
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSAN J. GODDARD
Credentials
DO
Primary location
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404-4518
Phone: (651) 220-6912 Fax:
Mailing address
11468 AVERY DR
INVER GROVE HEIGHTS, MN 55077-5483
Phone: (651) 905-1146 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for SUSAN GODDARD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ858102
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PP0204X
- Emergency Medicine / Pediatric Emergency Medicine (Primary)
MN 34818
208000000X
- Pediatrics
MN 34818

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.