Shriners Hospitals for Children

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SHRINERS HOSPITALS FOR CHILDREN

Practice address

2025 E River Pkwy
Minneapolis, MN 55414-3604

Phone

(612) 596-6100

Fax

(612) 339-7634

NPI assigned

Apr 24, 2018

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 1

• Shriners Hospitals for Children Professional Anesthesia 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

  • Pediatric Orthopaedic Surgery Physician
  • Minneapolis, MN
  • NPI 1114369006

  O20140606000217

  Same enrollment
• Shriners Hospitals for Children

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

  O20140606000217

  Same enrollment
• Shriners Hospitals for Children

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

  O20140606000217

  Same enrollment
• Shriners Hospitals for Children

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
  • NPI 1275271462

  O20140606000217

  Same enrollment

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1437647682",
    "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": "813-281-8113"
        },
        {
            "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": "612-339-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRINERS HOSPITALS FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "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": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shriners Hospitals for Children Professional Anesthesia Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Shriners Hospitals for Children Professional Anesthesia Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 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.
• Azinwi Shube, ND

• Anesthesiology Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Anesthesiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.