Shriners Hospitals for Children

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

Legal business name

SHRINERS HOSPITALS FOR CHILDREN

Practice address

12502 Usf Pine Dr
Tampa, FL 33612-9411

Phone

(813) 972-2250

Fax

(813) 975-7125

NPI assigned

Jan 23, 2013

Organization subpart

No

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

Addresses

Other names 2

• Shriners Children's Florida Doing business as
• Shriners Healthcare for Children Professional Services Doing business as

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1437497666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500 # 7642",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191787642",
            "telephone_number": "813-972-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 USF PINE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336129411",
            "telephone_number": "813-972-2250",
            "fax_number": "813-975-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRINERS HOSPITALS FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "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": "207XP3100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shriners Children's Florida",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shriners Healthcare for Children Professional Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shriners Healthcare for Children Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shri Aarna RX LLC
• Shrinath S. Kamat, M.D.,P.a.
• Robert Lee Shriner, M.D.
• Shriners Hospitals for Children
• Shriners Hospitals for Children
• Shriners Hospitals for Children
• Shriners Hospitals for Children
• Karen Shriver, RBT
• Mary Ellen Shriver, D.O.
• Haadi Shuaib, MD

• Pediatric Orthopaedic Surgery Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatric Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.