Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ellen Staedtler, MDPHD

Individual provider Anesthesiology Physician · NPI 1215750682

Dr. Ellen Staedtler, MDPHD is an Anesthesiology in Brighton, Massachusetts. Qualified in 2005, 21 years ago. Licensed in Massachusetts.

Years since qualifying
21
Licensed in
MA
In the registry since
2024

Practice location Address checks out

736 Cambridge St
Brighton, MA 02135
Phone: (617) 789-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 5001548 (MA)

Record details

NPI number1215750682
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedNovember 5, 2024
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address960 Massachusetts Ave, Fl 2, Boston, MA 02118

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated

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