SHRINERS HOSPITALS FOR CHILDREN


Address: 2425 Stockton Blvd, Sacramento, CA 95817-2215
Phone: 9164532000

SHRINERS HOSPITALS FOR CHILDREN (NPI# 1114415361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114415361
Entity Type Organization
Organization Name SHRINERS HOSPITALS FOR CHILDREN
Other Organization Name SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL ANESTHESIA SERVICES
Practice Address 2425 Stockton Blvd
Sacramento
CA 95817-2215
Mailing Address Po Box 8500 Lockbox #7642
Philadelphia
PA 19178-7642
Practice Telephone 9164532000
Practice Fax Number 9164532388
Mailing Telephone 8132810300
Mailing Fax Number 8132818113
Enumeration Date 2018-04-24
Last Update Date 2018-04-24
Authorized Official Name JERRY G. GANTT (PRESIDENT)
Authorized Official Telephone 8132810300
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Shriners Hospitals for Children Professional Anesthesia Services Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255461075 Shriners Hospitals for Children General Acute Care Hospital 1275 Fairfax Rd, Salt Lake City, UT 84103-4324 2007-03-07
1508908591 Shriners Hospitals for Children General Acute Care Hospital 3160 Genevea St, Los Angeles, CA 90020 2007-02-13
1669513941 Shriners Hospitals for Children General Acute Care Hospital 815 Market Street, Galveston, TX 77550 2007-02-09
1285250977 Shriners Hospitals for Children Clinic/Center 215 Radio Drive, Suite 100, Woodbury, MN 55125 2020-06-18
1952962011 Shriners Hospitals for Children Clinic/Center 12502 Usf Pine Dr, Tampa, FL 33612-9411 2019-06-27
1477119170 Shriners Hospitals for Children Clinic/Center 12502 Usf Pine Dr, Tampa, FL 33612-9411 2019-05-17
1992289490 Shriners Hospitals for Children Clinic/Center 215 Radio Drive, Suite 100, Woodbury, MN 55125 2018-09-20
1336639780 Shriners Hospitals for Children Anesthesiology 110 Conn Ter, Lexington, KY 40508-3206 2018-05-11
1922597640 Shriners Hospitals for Children Anesthesiology 4400 Clayton Ave, Saint Louis, MO 63110-1624 2018-05-08
1821587544 Shriners Hospitals for Children Anesthesiology 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 2018-05-08

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SHRINERS HOSPITALS FOR CHILDREN 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009
Iowa Business Entities SHRINERS HOSPITALS FOR CHILDREN 2900 Rocky Point Dr, Tampa, FL 33607
Oregon Corporations, Companies and Business Names SHRINERS HOSPITALS FOR CHILDREN 2900 N Rocky Point Dr, Tampa, FL 33607
Virginia Business Entities SHRINERS HOSPITALS FOR CHILDREN 2900 Rocky Point Dr., Tampa, Florida 33607
Vermont Business Registrations SHRINERS HOSPITALS FOR CHILDREN 2900 Rocky Point Drive, Tampa, FL 33607
Oklahoma Business Registrations SHRINERS HOSPITALS FOR CHILDREN Po Box 31356, Tampa, FL 33631-3356

Office Location

Street Address 2425 STOCKTON BLVD
City SACRAMENTO
State CA
Zip Code 95817-2215

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043292402 David Pleasure Psychiatry & Neurology 2425 Stockton Blvd, Shriners Hospital for Children Northern California, Sacramento, CA 95817-2215 2005-11-18
1407326374 Janice Marie Conroy Registered Nurse 2425 Stockton Blvd, Sacramento, CA 95817-2215 2018-12-04
1578038493 Jennifer Lee Miranda Nurse Practitioner 2425 Stockton Blvd, Sacramento, CA 95817-2215 2018-10-07
1215459318 Sally Ann Martens Nurse Practitioner 2425 Stockton Blvd, Sacramento, CA 95817-2215 2017-07-10
1417490178 Stacey Patee Foliente Occupational Therapist 2425 Stockton Blvd, Sacramento, CA 95817-2215 2016-11-29
1639620305 Maria Aurora Green Physical Therapist 2425 Stockton Blvd, Sacramento, CA 95817-2215 2016-10-18
1881144103 Lauren Cochran Physical Therapist 2425 Stockton Blvd, Pt/ot Department, Sacramento, CA 95817-2215 2016-10-11
1104376623 Suzanne Bratkovich Physical Therapist 2425 Stockton Blvd, Sacramento, CA 95817-2215 2016-10-07
1912457540 Gillian Williams Physical Therapist 2425 Stockton Blvd, Sacramento, CA 95817 2016-10-06
1558811182 Laura Van Houtryve Physical Therapist 2425 Stockton Blvd, Pt/ot Dept, Sacramento, CA 95817-2215 2016-10-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346855103 Quintin Kuse Student in an Organized Health Care Education/Training Program 4610 X Street, Sacramento, Sacramento, CA 95817 2020-09-09
1285259283 Uc Davis Health Dietitian, Registered 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 2020-06-15
1942840558 Michael Marchand-gareau Ophthalmology Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 2020-01-11
1467010728 Jiunn Liang Jonathan Yap Student in an Organized Health Care Education/Training Program 4860 Y Str, Ste. 2820, Sacramento, CA 95817 2019-06-03
1083176614 Kevin Lee Student in an Organized Health Care Education/Training Program 2315 Stockton Blvd, Op512, Sacramento, CA 95817 2019-04-02
1508326703 Ritika Johal Student in an Organized Health Care Education/Training Program 4150 V Street, Pssb 1200, Sacramento, CA 95817 2019-03-22
1811468838 Paige Palsgaard Behavior Technician 6730 4th Ave Apt 1731d, Sacramento, CA 95817 2018-12-17
1922503408 Marie Rossi Student in an Organized Health Care Education/Training Program 4150 V Street #1100, Sacramento, CA 95817 2018-03-27
1639673791 Sean Lam Student in an Organized Health Care Education/Training Program 4150 V Street #1200, Sacramento, CA 95817 2018-03-22
1124555388 Tatyana Polyak Surgery 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 2017-05-18
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Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518432319 Annette A Keochekian Md Inc Anesthesiology 2288 Auburn Blvd Ste 201, Sacramento, CA 95821-1620 2018-10-08
1881044857 Karl Kristiansen Anesthesiology Department of Anesthesiology and Pain Medicine, 4150 V Street, Pssb 1200, Sacramento, CA 95817 2016-06-20
1174949218 Eugene Andre Mansour Anesthesiology 4150 V St Street, Suite 1200, Sacramento, CA 95817-1460 2014-03-13
1912246281 Cristina Chandler Anesthesiology 4150 V St.ucdmc Dept. of Anesthesiology & Pain Medicine, Pssb Suite 1200, Sacramento, CA 95817-1460 2013-02-06
1356619936 Rory Scott Jaffe Anesthesiology 1215 K St, Ste 800, Sacramento, CA 95814-3945 2011-12-09
1225319015 Kaitlin J Nicoletti Anesthesiology 3939 J Street Suite 310, Sacramento, CA 95819 2011-09-07
1720374622 Tyler Bevins Anesthesiology 2315 Stockton Blvd # Op512, Sacramento, CA 95817-2201 2011-06-20
1396064408 Charles John De Mesa Anesthesiology 4860 Y St Ste 3020, Sacramento, CA 95817-2307 2010-05-28
1619101680 Niraj Niranjan Anesthesiology 4150 V Street Pssb Suite 1200, Ucdmc Dept. of Anesthesiology & Pain Medicine, Sacramento, CA 95817-1460 2009-05-06
1811137144 Marissa Gomez Vadi Anesthesiology Patient Support Services Bldg, 4150 V Street, Suite 1200, Sacramento, CA 95817 2009-02-26
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City SACRAMENTO
Zip Code 95817

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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