THE SHRINERS' HOSPITAL FOR CHILDREN (NPI# 1285078444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285078444 |
| Entity Type | Organization |
| Organization Name | THE SHRINERS' HOSPITAL FOR CHILDREN |
| Other Organization Name | THE SHRINERS' HOSPITAL FOR CHILDREN PROFESSIONAL SERVICES |
| Practice Address |
516 Carew St Springfield MA 01104-2330 |
| Mailing Address |
Po Box 8500 Lockbox 7642 Philadelphia PA 19178-7642 |
| Practice Telephone | 4137872000 |
| Practice Fax Number | 4137552321 |
| Mailing Telephone | 4137872000 |
| Mailing Fax Number | 4137552321 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2015-05-11 |
| Authorized Official Name | H. LEE KIRK (ADMINISTRATOR) |
| Authorized Official Telephone | 4137872011 |
| Authorized Official Credential | MA, 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 |
|---|---|
| The Shriners' Hospital for Children Professional Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831688555 | The Shriners' Hospital for Children | Anesthesiology | 51 Blossom St, Boston, MA 02114-2601 | 2018-05-08 |
| 1366886525 | The Shriners' Hospital for Children | Pediatrics | 51 Blossom St, Boston, MA 02114-2601 | 2013-04-18 |
| 1528195724 | The Shriners' Hospital for Children | General Acute Care Hospital | 516 Carew St, Springfield, MA 01104-2330 | 2007-02-27 |
| 1114053782 | The Shriners' Hospital for Children | General Acute Care Hospital | 51 Blossom St, Boston, MA 02114-2601 | 2007-02-26 |
| Street Address |
516 CAREW ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-2330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861476798 | Philip William Mack | Orthopaedic Surgery | 516 Carew St, Springfield, MA 01104-2330 | 2005-12-05 |
| 1770014821 | Maureen Theresa Nahorniak | Physical Therapist | 516 Carew St, Springfield, MA 01104-2330 | 2017-03-21 |
| 1831638253 | David Joseph Kreps | Physical Therapist | 516 Carew St, Springfield, MA 01104-2330 | 2017-02-17 |
| 1699222695 | Keri Garry | Nurse Practitioner | 516 Carew St, Springfield, MA 01104-2330 | 2016-09-07 |
| 1902208945 | Pediatric Orthotic and Prosthetic Services-northeast,llc | Prosthetic/Orthotic Supplier | 516 Carew St, Springfield, MA 01104-2330 | 2014-09-22 |
| 1154720027 | Rubini Pathy | Orthopaedic Surgery | 516 Carew St, Springfield, MA 01104-2330 | 2014-08-17 |
| 1023360716 | Adam J Iwanski | Physician Assistant | 516 Carew St, Springfield, MA 01104-2330 | 2012-10-05 |
| 1942575147 | Ahmad Fouad Bayomy | Orthopaedic Surgery | 516 Carew St, Springfield, MA 01104 | 2012-03-20 |
| 1255633665 | Tammy L Sears-langevin | Nurse Practitioner | 516 Carew St, Springfield, MA 01104-2396 | 2010-11-18 |
| 1831304211 | Philip B Stoddard | Plastic Surgery | 516 Carew St, Shriners Hospital for Children, Springfield, MA 01104 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| 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 |
|---|---|---|---|---|
| 1154720027 | Rubini Pathy | Orthopaedic Surgery | 516 Carew St, Springfield, MA 01104-2330 | 2014-08-17 |
| 1942575147 | Ahmad Fouad Bayomy | Orthopaedic Surgery | 516 Carew St, Springfield, MA 01104 | 2012-03-20 |
| 1649319682 | John Day Deweese | Orthopaedic Surgery | 516 Carew St, Springfield, MA 01104-2330 | 2007-02-06 |
| 1215075403 | William W. Goodman IIi | Orthopaedic Surgery | 1229 E Seminole St, Springfield, MO 65804-2227 | 2007-02-01 |
| 1841230471 | Krishna Anjali Singh | Orthopaedic Surgery | 301 N 8th St, Pav4b, Springfield, IL 62701-1041 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255836979 | Kemble Kangyu Wang | Orthopaedic Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2018-03-26 |
| 1386029759 | Tracy Townsend | Orthopaedic Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2015-07-27 |
| 1992134662 | Mathilde Hupin Debeurme | Orthopaedic Surgery | 300 Longwood Ave, Hunnewell Building - 221, Boston, MA 02115-5724 | 2013-11-04 |
| 1104263565 | Craig Munro Birch | Orthopaedic Surgery | 300 Longwood Ave, Boston, MA 02115 | 2013-05-25 |
| 1568728244 | Colyn Watkins | Orthopaedic Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2012-04-06 |
| 1528385481 | Cheryl Reese Lawing | Orthopaedic Surgery | 1800 Orleans Street, Bloomberg Children's Center, Baltimore, MA 21287 | 2010-04-30 |
| 1821260845 | Collin J May | Orthopaedic Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2008-03-31 |
| 1164460580 | Boston University Orthopaedic Surgical Associates, Inc. | Orthopaedic Surgery | 725 Albany St, Suite 4b, Boston, MA 02118 | 2006-06-04 |
| City | SPRINGFIELD |
| Zip Code | 01104 |
Please comment or provide details below to improve the information on THE SHRINERS' HOSPITAL 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.