SHRINERS HOSPITALS FOR CHILDREN (NPI# 1396187282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396187282 |
| Entity Type | Organization |
| Organization Name | SHRINERS HOSPITALS FOR CHILDREN |
| Other Organization Name | SHRINERS HOSPITALS FOR CHILDREN (PROFESSIONAL SERVICES) |
| Practice Address |
1275 E Fairfax Rd Salt Lake City UT 84103-4324 |
| Mailing Address |
Po Box 8500 Lockbox #7642 Philadelphia PA 19178-7642 |
| Practice Telephone | 8015363714 |
| Practice Fax Number | 8015363799 |
| Mailing Telephone | 8015363714 |
| Mailing Fax Number | 8015363799 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | KEVIN CRAIG MARTIN (ADMINISTRATOR) |
| Authorized Official Telephone | 8015363700 |
| 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 |
| Street Address |
1275 E FAIRFAX RD |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84103-4324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669611935 | Jaime E Manning | Physician Assistant | 1275 E Fairfax Rd, Salt Lake City, UT 84103-4324 | 2009-02-11 |
| 1528556776 | Shriners Hospitals for Children | Anesthesiology | 1275 E Fairfax Rd, Salt Lake City, UT 84103 | 2018-04-24 |
| 1356888119 | Amy Shuckra | Physical Therapist | 1275 E Fairfax Rd, Salt Lake City, UT 84103-4324 | 2017-01-31 |
| 1508223686 | David Draper | Orthotist | 1275 E Fairfax Rd, Salt Lake City, UT 84103-4324 | 2016-01-21 |
| 1225430150 | Pediatric Orthotic and Prosthetic Services- West, LLC | Prosthetic/Orthotic Supplier | 1275 E Fairfax Rd, Salt Lake City, UT 84103-4324 | 2014-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932509213 | Paul David Rauch | Specialist/Technologist | 701 De Soto Street, Salt Lake City, UT 84103 | 2014-08-24 |
| 1073866695 | University Neuropsychiatric Institute | Community Based Residential Treatment Facility, Mental Illness | 252 South 500 East, Salt Lake City, UT 84103 | 2012-10-19 |
| 1114285558 | Christopher John Murphy | Student in an Organized Health Care Education/Training Program | 585 1st Ave, Salt Lake City, UT 84103 | 2012-04-23 |
| 1447573266 | Peter Louis Kapelke | Specialist | Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 | 2010-03-08 |
| 1578763389 | Susana Auhangamea Kinikini | Nurse Practitioner | Fairfax @ Virginia Street, Salt Lake City, UT 84103 | 2007-07-19 |
| 1609082320 | Cynthia N Shumway | Social Worker | 580 10th Avenue, Salt Lake City, UT 84103 | 2007-05-16 |
| 1811010655 | Kent Walker Farnsworth | Obstetrics & Gynecology | 1509 Federal Heights Drive, Salt Lake City, UT 84103 | 2007-04-09 |
| 1912082421 | Eloise Agnes Maughan | Nurse Practitioner | 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 | 2006-10-25 |
| 1407968464 | Kit D Smith | Anesthesiology | 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 | 2006-08-31 |
| 1396854113 | Lisa H Carter | Physical Therapist | 1285 East Fairfax Road, Salt Lake City, UT 84103 | 2006-08-29 |
| Find all providers in zip 84103 | ||||
| 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 |
|---|---|---|---|---|
| 1528115763 | David L Mccann | Orthopaedic Surgery | 4190 Highland Drive, Suite 102, Salt Lake City, UT 84124-2600 | 2007-01-03 |
| 1689228298 | Meaghan Marien | Orthopaedic Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-07-31 |
| 1750709242 | Abby Mccain Howenstein | Orthopaedic Surgery | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2014-04-01 |
| 1932385671 | Suzanne M Yandow | Orthopaedic Surgery | 100 Mario Capecchi Dr, 4550, Salt Lake City, UT 84113-1103 | 2008-01-11 |
| 1699826693 | Theresa Ann Hennessey | Orthopaedic Surgery | Shriners Hospitals for Children, Fairfax Road At Virginia Street, Salt Lake City, UT 84103-4399 | 2007-01-16 |
| 1154497006 | James W Ogilvie | Orthopaedic Surgery | 1340 E. 300 N., Shriners Hospital for Children, Salt Lake City, UT 84103-4399 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982141008 | Douglas Kehl | Orthopaedic Surgery | 825 W South Links Dr, Washington, UT 84780-8524 | 2017-01-26 |
| 1104027234 | Lyle Beyer Mason | Orthopaedic Surgery | 1708 Stone Ridge Cir, Bountiful, UT 84010-1033 | 2007-05-29 |
| 1386257152 | University of Utah Pediatric Services | Orthopaedic Surgery | 9385 S Snowbird Center Dr, Sandy, UT 84092-6249 | 2020-08-31 |
| 1497089908 | Utah Orthopaedics LLC | Orthopaedic Surgery | 5782 Adams Avenue Parkway, Washington Terrace, UT 84405 | 2009-09-30 |
| City | SALT LAKE CITY |
| Zip Code | 84103 |
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.