NPIMap

Organization Active NPI

Shriners Hospitals for Children

  • Clinic/Center
  • Doylestown, PA
National Provider Identifier
1033879713
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SHRINERS HOSPITALS FOR CHILDREN
Practice address
599 W State St Ste 305
Doylestown, PA 18901-2567
Phone
(215) 430-4000
Fax
(215) 430-4228
NPI assigned
Dec 22, 2021
Last updated
Jul 26, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SHRINERS HOSPITALS FOR CHILDRENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jerry G Gantt
Title
President
Phone
(813) 281-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

599 W State St Ste 305
Doylestown, PA 18901-2567

Mailing address

PO Box 8500 Lockbox 7642
Philadelphia, PA 19178-7642
Phone (813) 281-0300

Other names 1

  • Shriners Children's Doylestown Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140508000878 PA Part B Supplier - Hospital Department(S) 9133031933 Receives reassigned benefits from 92 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Doylestown, PA; Philadelphia, PA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Shriners Hosp for Children49 organizations share this tax ID, including this one
Part of
Shriners Hosp for Children

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1033879713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500 LOCKBOX 7642",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191787642",
            "telephone_number": "813-281-0300",
            "fax_number": "813-281-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 W STATE ST STE 305",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012567",
            "telephone_number": "215-430-4000",
            "fax_number": "215-430-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRINERS HOSPITALS FOR CHILDREN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHRINERS HOSPITALS FOR CHILDREN",
        "enumeration_date": "2021-12-22",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "GANTT",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-281-0300"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shriners Children's Doylestown Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Shriners Children's Doylestown Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.