SHRINERS HOSPITALS FOR CHILDREN (NPI# 1659615706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659615706 |
| Entity Type | Organization |
| Organization Name | SHRINERS HOSPITALS FOR CHILDREN |
| Other Organization Name | SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL SERVICES |
| Practice Address |
3551 N Broad St Philadelphia PA 19140-4160 |
| Mailing Address |
Po Box 8500 Lockbox #7642 Philadelphia PA 19178-7642 |
| Practice Telephone | 2154304000 |
| Practice Fax Number | 2154304079 |
| Mailing Telephone | 2154304000 |
| Mailing Fax Number | 2154304079 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2015-05-11 |
| Authorized Official Name | MR. EDWARD MYERS (ADMINISTRATOR) |
| Authorized Official Telephone | 8132818478 |
| Authorized Official Credential | MBA, FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
PA | 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 |
| Indiana Business Entities | SHRINERS HOSPITALS FOR CHILDREN, INC. | Po Box 31356, Tampa, FL 33631-3356 |
| Street Address |
3551 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-4160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804370 | Luz Perez-schwartz | Anesthesiology | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2005-07-11 |
| 1376101410 | Michael Walter Szymendera | Dietitian, Registered | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2019-06-04 |
| 1760966956 | Giana Indelicato | Nurse Practitioner | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2018-09-24 |
| 1023506276 | Shriners Hospitals for Children | Anesthesiology | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2018-04-24 |
| 1144725151 | Ellen Kligerman Waters | Nurse Practitioner | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2018-03-30 |
| 1548711617 | Melissa Torres Cramer | Physician Assistant | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2016-10-24 |
| 1083067029 | Emily Stankoski | Physician Assistant | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2016-07-14 |
| 1336537042 | Pediatric Orthotic and Prosthetic Services- Northeast, LLC | Prosthetic/Orthotic Supplier | 3551 N Broad St, Philadelphia, PA 19140 | 2015-01-05 |
| 1023426749 | Melodee Arevalo Mendoza | Nurse Practitioner | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2014-07-25 |
| 1043566177 | Maria Belen De Jose Maria Galve | Anesthesiology | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2012-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| 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 |
|---|---|---|---|---|
| 1144574682 | Nanjundappa Somasekhar Harshavardhana | Orthopaedic Surgery | 34th Street and Civic Center Boulvevard, 2nd Floor, Wood Building - Division of Orthopedics, Philadelphia, PA 19104 | 2012-11-06 |
| 1548477631 | Michael Soon Il Kwon | Orthopaedic Surgery | 3601 A St., Philadelphia, PA 19134-1095 | 2007-05-17 |
| 1528128030 | Wudbhav Nott Sankar | Orthopaedic Surgery | 3737 Market St Fl 7, Philadelphia, PA 19104-5545 | 2006-12-12 |
| 1285278416 | Stc Pediatrics LLC | Orthopaedic Surgery | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-31 |
| 1821376559 | Jane S Hoashi | Orthopaedic Surgery | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2011-07-29 |
| 1255632402 | Hitesh Garg | Orthopaedic Surgery | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2010-11-04 |
| 1407015936 | Corinna Catherine Franklin | Orthopaedic Surgery | 3551 N Broad St, Shriners Hospital for Children, Philadelphia, PA 19140-4160 | 2008-06-09 |
| 1891993473 | Alexandre Arkader | Orthopaedic Surgery | 100 E Penn Sq, The Wanamaker Bldg 9th Floor, Philadelphia, PA 19107-3323 | 2007-07-05 |
| 1730176678 | Harold J.p. Van Bosse | Orthopaedic Surgery | 3551 N Broad St, Philadelphia, PA 19140-4160 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730748195 | Spirit Physcian Services, Inc. | Orthopaedic Surgery | 4230 Crums Mill Rd Ste 100, Harrisburg, PA 17112-2898 | 2019-06-10 |
| 1740236900 | Wellspan Medical Group | Orthopaedic Surgery | 18 Deatrick Drive, Gettysburg, PA 17325-6958 | 2006-05-26 |
| 1982248118 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 Oxford Valley Rd Ste 1201, Yardley, PA 19067-7706 | 2019-10-31 |
| 1083258214 | Stc Pediatrics LLC | Orthopaedic Surgery | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-31 |
| 1366086720 | Stc Pediatrics LLC | Orthopaedic Surgery | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-10-29 |
| 1699290775 | Ashishkumar Ranchhodbhai Patel | Orthopaedic Surgery | 145 Hospital Ave Ste 311, Du Bois, PA 15801-1465 | 2017-08-09 |
| 1548717572 | Shriners Hospitals for Children | Orthopaedic Surgery | 1645 W 8th St, Erie, PA 16505-5007 | 2016-09-07 |
| 1801138037 | Ahmed Kneifati | Orthopaedic Surgery | 11 Fairway Dr, Selinsgrove, PA 17870-9104 | 2013-03-26 |
| 1982971503 | Shriners Hospitals for Children | Orthopaedic Surgery | 1645 W 8th St, Erie, PA 16505-5007 | 2011-11-28 |
| 1881998375 | Ozgur Dede | Orthopaedic Surgery | 4401 Penn Ave, Faculty Pavilion 4th Floor, Pittsburgh, PA 15224-1334 | 2010-12-27 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
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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.