SHRINERS HOSPITALS FOR CHILDREN (NPI# 1265920417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265920417 |
| Entity Type | Organization |
| Organization Name | SHRINERS HOSPITALS FOR CHILDREN |
| Other Organization Name | SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL ANESTHESIA SERVICES |
| Practice Address |
12502 Usf Pine Dr Tampa FL 33612-9411 |
| Mailing Address |
Po Box 8500 Lockbox #7642 Philadelphia PA 19178-0001 |
| Practice Telephone | 8139722250 |
| Practice Fax Number | 8139757125 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Shriners Hospitals for Children Professional Anesthesia 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 |
| Indiana Business Entities | SHRINERS HOSPITALS FOR CHILDREN, INC. | Po Box 31356, Tampa, FL 33631-3356 |
| Street Address |
12502 USF PINE DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-9411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336113380 | Dennis Paul Grogan | Orthopaedic Surgery | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2006-02-15 |
| 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 |
| 1194287532 | Natasha Casimir | Physical Therapist | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2019-04-04 |
| 1851853576 | Sandra B Smith | Physical Therapist | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2019-04-02 |
| 1467914192 | Lynn Marie White | Occupational Therapist | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2019-04-02 |
| 1417486341 | Jamie L Pirone | Emergency Medical Technician, Basic | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2017-06-05 |
| 1093257537 | Kristin Marie Hubbell | Occupational Therapist | 12502 Usf Pine Dr, Tampa, FL 33612 | 2016-11-15 |
| 1861852683 | Erica C. Keto | Physical Therapist | 12502 Usf Pine Dr, Tampa, FL 33612 | 2016-03-07 |
| 1750768123 | Amy Flannigan Dittmer | Nurse Practitioner | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2015-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171823 | Nawreen Jahan | Anesthesiology | 10808 Sassafras St, Tampa, FL 33617-3541 | 2020-07-22 |
| 1134777147 | Anesthesia 3 0 LLC | Anesthesiology | 360 Blanca Ave, Tampa, FL 33606-3630 | 2019-09-03 |
| 1457821324 | Executive Anesthesia Inc. | Anesthesiology | 4532 W Kennedy Blvd Ste 134, Tampa, FL 33609-2042 | 2018-12-04 |
| 1649761164 | Olympia Anesthesia LLC | Anesthesiology | 16618 Villalenda De Avila, Tampa, FL 33613-5200 | 2018-05-21 |
| 1003202524 | Veda Managing LLC | Anesthesiology | 10831 Barbados Isle Dr, Tampa, FL 33647-2792 | 2015-04-10 |
| 1760800569 | Nikolaus Lee Gravenstein | Anesthesiology | 449 S 12th St Unit 1003, Tampa, FL 33602-5608 | 2014-03-31 |
| 1861817744 | Gregory Horn | Anesthesiology | 610 S Rome Ave Apt 102, Tampa, FL 33606-2541 | 2014-02-28 |
| 1588934756 | Sondra Shields, Md, Plc | Anesthesiology | 14437 University Cove Place, Tampa, FL 33613-3741 | 2012-01-05 |
| 1235442757 | Jay Parekh | Anesthesiology | 8318 North Habana Ave, Tampa, FL 33614 | 2010-07-26 |
| 1508097361 | Anesthesiologist Associates Oak Hill Division, Pa | Anesthesiology | 4934 W Melrose Ave S, Tampa, FL 33629-5420 | 2009-07-28 |
| Find all providers in TAMPA | ||||
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| 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.