SHRINERS HOSPITALS FOR CHILDREN (NPI# 1437497666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437497666 |
| Entity Type | Organization |
| Organization Name | SHRINERS HOSPITALS FOR CHILDREN |
| Other Organization Name | SHRINERS HEALTHCARE FOR CHILDREN PROFESSIONAL SERVICES |
| Practice Address |
12502 Usf Pine Dr Tampa FL 33612-9411 |
| Mailing Address |
Po Box 8500 # 7642 Philadelphia PA 19178-7642 |
| Practice Telephone | 8139722250 |
| Practice Fax Number | 8139757125 |
| Mailing Telephone | 8139722250 |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2019-09-13 |
| Authorized Official Name | JERRY G. GANTT (PRESIDENT) |
| Authorized Official Telephone | 8132810300 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHRINERS HOSPITALS FOR CHILDREN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Shriners Healthcare for Children Professional Services | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1265920417 | Shriners Hospitals for Children | Anesthesiology | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2018-04-24 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1134290414 | Luis Edgardo Kortright | Orthopaedic Surgery | 4600 N Habana Ave Ste 6, Tampa, FL 33614-7123 | 2006-11-10 |
| 1568424075 | David Siambanes | Orthopaedic Surgery | 3003 E. Dr. Martin Luther King Jr. Blvd., Mab-3rd Floor, Tampa, FL 33607-6307 | 2006-04-03 |
| 1053701359 | Luis E. Kortright M.d. | Orthopaedic Surgery | 4600 N Habana Ave, Suite # 6, Tampa, FL 33614-7112 | 2015-01-26 |
| 1104055466 | Childrens Orthopaedics & Scoliosis Surgery Associates | Orthopaedic Surgery | 3440 W Dr Mlk Blvd, Suite 200, Tampa, FL 33607-6214 | 2009-07-08 |
| 1508019142 | Maclaren Sports Med Inc | Orthopaedic Surgery | 6918 Gunn Hwy, Ste C, Tampa, FL 33625-3853 | 2008-10-28 |
| 1710184098 | Brian J Deignan | Orthopaedic Surgery | 3003 W Dr Martin Luther King Jr Blvd, Mab-3rd Floor, Tampa, FL 33607-6307 | 2007-06-29 |
| 1992844914 | Tracey A. Delucia | Orthopaedic Surgery | 3003 W Dr Martin Luther King Jr Blvd, 3rd Floor Mab, Tampa, FL 33607-6307 | 2007-02-06 |
| 1205920410 | Maureen Maciel | Orthopaedic Surgery | 12502 Usf Pine Drive, Tampa, FL 33612-9411 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898580 | North Broward Hospital District | Orthopaedic Surgery | 3100 Coral Hills Dr Ste 202, Coral Springs, FL 33065-4139 | 2019-12-19 |
| 1952662355 | Scoliosis & Pediatric Ortho Pa | Orthopaedic Surgery | 6370 N State Road 7, Suite 100, Coconut Creek, FL 33073-3606 | 2012-06-01 |
| 1144422486 | Hallandale Beach Orthopedics, Inc. | Orthopaedic Surgery | 1250 E Hallandale Beach Blvd Ste 700, Hallandale Beach, FL 33009-4641 | 2007-05-31 |
| 1427259076 | Davida Packer | Orthopaedic Surgery | 901 45th St Kimmel Bldg, West Palm Beach, FL 33407-2413 | 2007-05-30 |
| 1124249511 | Jeffrey Alan Crastnopol | Orthopaedic Surgery | 3405 Saddlebrook Ln, Weston, FL 33331-3034 | 2007-05-01 |
| 1386786838 | Pediatric Orthopedics of Southwest Florida | Orthopaedic Surgery | 15821 Hollyfern Court, Fort Myers, FL 33908 | 2007-02-13 |
| 1205862745 | Raymund Woo | Orthopaedic Surgery | 2501 N Orange Ave Ste 514, Orlando, FL 32804-4674 | 2006-06-25 |
| 1740282292 | Randolph Cohen | Orthopaedic Surgery | 5830 Coral Ridge Dr Ste 207, Coral Springs, FL 33076 | 2005-08-15 |
| 1851394746 | Timothy Michael Bradley | Orthopaedic Surgery | 602 Vonderburg Dr, Suite 103, Brandon, FL 33511-5900 | 2005-05-24 |
| 1609431493 | Children's Orthopaedic Institute of Northwest Florida, LLC | Orthopaedic Surgery | 710 Hospital Dr, Crestview, FL 32539-7380 | 2019-05-07 |
| Find all providers with the same taxonomy | ||||
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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.