SHRINERS HOSPITALS FOR CHILDREN (NPI# 1679617849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679617849 |
| Entity Type | Organization |
| Organization Name | SHRINERS HOSPITALS FOR CHILDREN |
| Other Organization Name | SHRINERS HOSPITALS FOR CHILDREN SHREVEPORT |
| Practice Address |
3100 Samford Ave Shreveport LA 71103-4239 |
| Mailing Address |
Shriners Hospitals for Children P.o. Box 8500, Lockbox #7642 Philadelphia PA 19178-7642 |
| Practice Telephone | 3182225704 |
| Practice Fax Number | 3184247610 |
| Mailing Telephone | 8132818657 |
| Mailing Fax Number | 8132818113 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2014-03-07 |
| Authorized Official Name | MR. GARRY KIM GREEN (ADMINISTRATOR) |
| Authorized Official Telephone | 3182225704 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
179 | LA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | HOSPITAL LICENSE NUMBER | 179 | 01 |
| TX | 3168429 | 05 | |
| LA | 2700031 | 05 | |
| MS | 08155267 | 05 | |
| AL | 149229 | 05 | |
| AR | 191748105 | 05 | |
| OK | 200341270A | 05 | |
| LA | MEDICARE PART B (PTAN) | 258361 | 01 |
| Other Name | Type Code |
|---|---|
| Shriners Hospitals for Children Shreveport | 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 |
3100 SAMFORD AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588634133 | Emily Hummer Naus | Anesthesiology | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2006-01-25 |
| 1104311778 | Amanda Carfagno | Nurse Practitioner | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2018-06-26 |
| 1922596170 | Shriners Hospitals for Children | Anesthesiology | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2018-04-24 |
| 1912303330 | Pediatric Orthotic and Prosthetic Services-southeast, LLC | Prosthetic/Orthotic Supplier | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2014-11-12 |
| 1568803732 | Shriners Hospitals for Children | Orthopaedic Surgery | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2013-07-16 |
| 1962751495 | Linda Scoggins Beckermeyer | Nurse Practitioner | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2012-08-30 |
| 1356641799 | Shiela Eileen Sterling | Physical Therapist | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2010-11-02 |
| 1285934620 | Shannon Marie Davis | Physical Therapist | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2010-11-02 |
| 1386944718 | Deborah Banks | Physical Therapist | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2010-11-02 |
| 1659671097 | Natalie Wooley Bomar | Occupational Therapist | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2010-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253252 | Ochsner Lsu Health Shreveport - St. Mary Medical Center, LLC | General Acute Care Hospital | 1 St. Mary Place, Shreveport, LA 71101-4307 | 2020-04-10 |
| 1992156590 | Lsuhsc Shreveport | General Acute Care Hospital | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2016-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952576555 | Elizabeth Bellino | General Acute Care Hospital | 1107 S Peters St, Apt 322, New Orleans, LA 70130-1759 | 2008-04-24 |
| 1851948095 | Jennings American Legion Hospital Inc. | General Acute Care Hospital | 1634 Elton Rd, Jennings, LA 70546-3614 | 2019-08-22 |
| 1710349295 | Irene Evelyn Robicheaux | General Acute Care Hospital | 1401 Foucher St, New Orleans, LA 70115-3515 | 2016-03-24 |
| 1669656344 | Tulane Hospital | General Acute Care Hospital | 1430 Tulane Ave, Sl-37, New Orleans, LA 70112-2632 | 2007-12-18 |
| 1508954751 | Children' S Hospital | General Acute Care Hospital | 200 Henry Clay Ave, Suite 2023, New Orleans, LA 70118-5720 | 2006-10-11 |
| 1104819366 | Childrens Hospital, Inc. | General Acute Care Hospital | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2005-08-23 |
| City | SHREVEPORT |
| Zip Code | 71103 |
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.