SHRINERS HOSPITALS FOR CHILDREN (NPI# 1275970295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275970295 |
| Entity Type | Organization |
| Organization Name | SHRINERS HOSPITALS FOR CHILDREN |
| Other Organization Name | SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL SERVICES |
| Practice Address |
4400 Clayton Ave Saint Louis MO 63110-1624 |
| Mailing Address |
Po Box 8500 Lockbox #7642 Philadelphia PA 19178-7642 |
| Practice Telephone | 3144323600 |
| Practice Fax Number | 3144322930 |
| Mailing Telephone | 3144323600 |
| Mailing Fax Number | 3144322930 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2015-05-11 |
| Authorized Official Name | JOHN GLOSS (ADMINISTRATOR) |
| Authorized Official Telephone | 3144323600 |
| Authorized Official Credential | FACHE |
| 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 |
4400 CLAYTON AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447269444 | Gary S Gottesman | Medical Genetics | 4400 Clayton Ave, Research Center, Saint Louis, MO 63110-1624 | 2006-08-07 |
| 1457977480 | Chelsea Nagel | Physical Therapist | 4400 Clayton Ave, Saint Louis, MO 63110-1624 | 2020-06-25 |
| 1922597640 | Shriners Hospitals for Children | Anesthesiology | 4400 Clayton Ave, Saint Louis, MO 63110-1624 | 2018-05-08 |
| 1427568302 | Julia Schroeder | Physical Therapist | 4400 Clayton Ave, Saint Louis, MO 63110-1624 | 2017-10-05 |
| 1710352620 | Allison Hotze | Nurse Practitioner | 4400 Clayton Ave, Saint Louis, MO 63110-1624 | 2015-12-02 |
| 1639544737 | Chelsea Marie Masters | Nurse Practitioner | 4400 Clayton Ave, Saint Louis, MO 63110-1624 | 2015-12-01 |
| 1063899441 | Amanda O'connor | Nurse Practitioner | 4400 Clayton Ave, Saint Louis, MO 63110-1624 | 2015-05-05 |
| 1275935207 | Pediatric Orthotic and Prosthetic Services - Northwest, LLC | Prosthetic/Orthotic Supplier | 4400 Clayton Ave, Saint Louis, MO 63110-1624 | 2014-09-22 |
| 1568701886 | Barbara Jean Huelsmann | Nurse Practitioner | 4400 Clayton Ave, Saint Louis, MO 63110-1624 | 2013-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| 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 |
|---|---|---|---|---|
| 1023244522 | Brian Adams Kelly | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2009-06-10 |
| 1053576215 | Mark Leland Miller | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2008-07-26 |
| 1801077250 | Noppachart Limpaphayom | Orthopaedic Surgery | 2001 S Lindbergh Blvd, Saint Louis, MO 63131-3504 | 2007-11-14 |
| 1730386541 | Jeffrey Jerome Nepple | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2007-06-27 |
| 1558389288 | Joe E Gordon | Orthopaedic Surgery | 1 Childrens Pl, Ste 1b, Saint Louis, MO 63110-1002 | 2006-07-18 |
| 1205853710 | Matthew Barrett Dobbs | Orthopaedic Surgery | 1 Childrens Pl, Ste 1b, Saint Louis, MO 63110-1002 | 2006-07-17 |
| 1093733503 | Perry L Schoenecker | Orthopaedic Surgery | 1 Childrens Pl, Ste 1b, Saint Louis, MO 63110-1002 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548286859 | Scott J Luhmann | Orthopaedic Surgery | 14532 S Outer 40 Rd Ste 210, Ste 210, Chesterfield, MO 63017-5784 | 2006-07-14 |
| 1225382302 | Sumit Kumar Gupta | Orthopaedic Surgery | 204 N Keene St, Columbia, MO 65201-0000 | 2012-10-29 |
| 1609086834 | Leslie Orthopedics and Sports Medicine Inc | Orthopaedic Surgery | 226 E Us Highway 54, Camdenton, MO 65020-6819 | 2007-05-23 |
| 1417178369 | Lisa Marie Berglund | Orthopaedic Surgery | 2401 Gillham Rd, Room 2501.12 Division of Orthopaedic Surgery, Kansas City, MO 64108-4619 | 2007-05-01 |
| 1215075403 | William W. Goodman IIi | Orthopaedic Surgery | 1229 E Seminole St, Springfield, MO 65804-2227 | 2007-02-01 |
| 1780633180 | Donna Pacicca | Orthopaedic Surgery | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-05-10 |
| City | SAINT LOUIS |
| Zip Code | 63110 |
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.