NPIMap

Organization Active NPI

The Shriners' Hospital for Children

  • Pediatric Orthopaedic Surgery Physician
  • Springfield, MA
National Provider Identifier
1285078444
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
Legal business name
THE SHRINERS' HOSPITAL FOR CHILDREN
Practice address
516 Carew St
Springfield, MA 01104-2330
Phone
(413) 787-2000
Fax
(413) 755-2321
NPI assigned
Apr 18, 2013
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
H. Lee Kirk, MA, FACHE
Title
Administrator
Phone
(413) 787-2011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X Primary

Addresses

Primary practice location

516 Carew St
Springfield, MA 01104-2330

Mailing address

PO Box 8500
Lockbox 7642
Philadelphia, PA 19178-7642
Phone (413) 787-2000

Other names 1

  • The Shriners' Hospital for Children Professional Services Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131219000781 MA Part B Supplier - Clinic/Group Practice 5496947301 Receives reassigned benefits from 131 practitioners
3 other NPIs on this enrollment
Practice locations: Boston, MA; Springfield, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Shriners Hospital for ChildrenBoston, MA, CCN 223304 Hospital Operational/Managerial Control Aug 10, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 132

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.

View all 132

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1285078444",
    "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": "413-787-2000",
            "fax_number": "413-755-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042330",
            "telephone_number": "413-787-2000",
            "fax_number": "413-755-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHRINERS' HOSPITAL FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "H.",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "413-787-2011",
        "authorized_official_credential": "MA, FACHE"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Shriners' Hospital for Children Professional Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.