Shriners Hospitals for Children

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

Legal business name

SHRINERS HOSPITALS FOR CHILDREN

Practice address

2025 E River Pkwy
Minneapolis, MN 55414-3604

Phone

(612) 596-6100

Fax

(612) 596-7634

NPI assigned

Jul 22, 2013

Last updated

Oct 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Lobeck

Title

Administrator

Phone

(612) 596-6111

Specialties & licenses 3

Addresses

Other names 1

• Shriners Hospitals for Children (Professional Services) Other name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• Shriners Hospitals for Children

  dba Shriners Children's

  • Rehabilitation Clinic/Center
  • Woodbury, MN
  • NPI 1285250977

  O20140606000217

  Same enrollment
• Shriners Hospitals for Children

  • Anesthesiology Physician
  • Minneapolis, MN
  • NPI 1437647682

  O20140606000217

  Same enrollment
• Shriners Hospitals for Children

  • Medical Specialty Clinic/Center
  • Woodbury, MN
  • NPI 1992289490

  O20140606000217

  Same enrollment
• Shriners Hospitals for Children

  dba Shriners Children's

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
  • NPI 1275271462

  O20140606000217

  Same enrollment

Locations

Practitioners 2

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.

• Cynthia Van Nguyen, MD

  • Pediatric Orthopaedic Surgery Physician
  • Pasadena, CA
  • NPI 1568756468
  NPD (past)
• Selina Poon, MD

  • Pediatric Orthopaedic Surgery Physician
  • Pasadena, CA
  • NPI 1184877003
  NPD (past)

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1114369006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500",
            "address_2": "LOCKBOX #7642",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191787642",
            "telephone_number": "612-596-6100",
            "fax_number": "612-596-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E RIVER PKWY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143604",
            "telephone_number": "612-596-6100",
            "fax_number": "612-596-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRINERS HOSPITALS FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "LOBECK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-596-6111"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shriners Hospitals for Children (Professional Services)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jaimie Shrestha
• Prashant Shrestha, M.D.
• Sofia Shrestha, PHARMD
• Elizabeth Henderson Shreve, MSW, LICSW
• Michael R Shreve, M.D.
• Shriners Hospitals for Children
• Shriners Hospitals for Children
• Jennifer Evangeline Shriver, MSW, LICSW
• Gautam R Shroff, MBBS
• Richard F Shronts, M.D.

• Pediatric Orthopaedic Surgery Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Pediatric Orthopaedic Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.