SHRINERS HOSPITALS FOR CHILDREN (NPI# 1205278199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205278199 |
| Entity Type | Organization |
| Organization Name | SHRINERS HOSPITALS FOR CHILDREN |
| Other Organization Name | SHRINERS HOSPITALS FOR CHILDREN (PROFESSIONAL SERVICES) |
| Practice Address |
911 W 5th Ave Spokane WA 99204-2901 |
| Mailing Address |
Po Box 8500 Lockbox #7642 Philadelphia PA 19178-7642 |
| Practice Telephone | 5096230422 |
| Practice Fax Number | 5096230474 |
| Mailing Telephone | 5096230422 |
| Mailing Fax Number | 5096230474 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | PETER BREWER (ADMINISTRATOR) |
| Authorized Official Telephone | 50962304422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Shriners Hospitals for Children (Professional Services) | Other Name - Individual/Organization |
| 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 |
| 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 |
| Street Address |
911 W 5TH AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457331043 | Glen Olsen Baird | Orthopaedic Surgery | 911 W 5th Ave, Spokane, WA 99204-2901 | 2006-01-19 |
| 1710475967 | Shriners Hospitals for Children | Anesthesiology | 911 W 5th Ave, Spokane, WA 99204-2901 | 2018-04-24 |
| 1053719633 | Pediatric Orthotic and Prosthetic Services - Northwest, LLC | Durable Medical Equipment & Medical Supplies | 911 W 5th Ave, Spokane, WA 99204-2901 | 2014-12-12 |
| 1962822718 | Jacob Ryan Carl | Orthopaedic Surgery | 911 W 5th Ave, Spokane, WA 99204-2901 | 2014-04-20 |
| 1205105210 | Clinton T Hastings | Student in an Organized Health Care Education/Training Program | 911 W 5th Ave, Spokane, WA 99204-2901 | 2011-12-20 |
| 1851691323 | James William Annis Jr. | Physician Assistant | 911 W 5th Ave, Spokane, WA 99204-2901 | 2010-10-29 |
| 1932341161 | Ted Carr Sousa | Orthopaedic Surgery | 911 W 5th Ave, Spokane, WA 99204 | 2009-04-02 |
| 1295999621 | Renee Lach | Physical Therapist | 911 W 5th Ave, Spokane, WA 99204-2901 | 2008-07-15 |
| 1538354766 | Bryan J Tompkins | Orthopaedic Surgery | 911 W 5th Ave, Spokane, WA 99204-2901 | 2007-09-11 |
| 1649474511 | Ryan Baker | Pediatrics | 911 W 5th Ave, Spokane, WA 99204 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538354766 | Bryan J Tompkins | Orthopaedic Surgery | 911 W 5th Ave, Spokane, WA 99204-2901 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043868219 | Samuel Karel Van De Velde | Orthopaedic Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-08-30 |
| 1023454204 | Maryse Bouchard | Orthopaedic Surgery | 4800 Sand Point Way Ne, W-7706, Seattle, WA 98105-0371 | 2013-05-15 |
| 1134411440 | Jennifer M Bauer | Orthopaedic Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2011-05-04 |
| 1396063103 | Katherine M Schroeder | Orthopaedic Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2010-05-05 |
| 1427211143 | Suzanne Elise Steinman | Orthopaedic Surgery | 4800 Sand Point Way Ne, M/s W 7706, Seattle, WA 98105-3901 | 2008-07-02 |
| 1306904552 | Nathan Lee Frost | Orthopaedic Surgery | Madigan Army Medical Ctr, Tacoma, WA 98431-0001 | 2006-12-04 |
| 1841374568 | Laurel M Saliman | Orthopaedic Surgery | 1101 Madison St Ste 800, Seattle, WA 98104 | 2006-10-25 |
| 1366558181 | Michael Jay Goldberg | Orthopaedic Surgery | 4800 Sand Point Way Ne, M/s W 7706, Seattle, WA 98105-3901 | 2006-08-22 |
Please comment or provide details below to improve the information on SHRINERS HOSPITALS FOR CHILDREN.
| 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.