NPIMap

Organization Active NPI

Shriners Hospitals for Children

Doing business as Shriners Hospitals for Children - Erie Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Erie, PA
National Provider Identifier
1528335148
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SHRINERS HOSPITALS FOR CHILDREN
Doing business as
Shriners Hospitals for Children - Erie Ambulatory Surgery Center
Practice address
1645 W 8TH St
Erie, PA 16505-5007
Phone
(814) 875-8700
Fax
(814) 875-8756
NPI assigned
Nov 28, 2011
Last updated
Sep 20, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SHRINERS HOSPITALS FOR CHILDRENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1645 W 8TH St
Erie, PA 16505-5007

Mailing address

PO Box 8500
Loxbox #7642
Philadelphia, PA 19178-7642
Phone (813) 281-8478

Other names 1

  • Shriners Hospitals for Children - Erie Ambulatory Surgery Center Doing business as

National Provider Directory

National Provider Directory
Part of
Shriners Hospitals Children

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1528335148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500",
            "address_2": "LOXBOX #7642",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191787642",
            "telephone_number": "813-281-8478",
            "fax_number": "813-281-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165055007",
            "telephone_number": "814-875-8700",
            "fax_number": "814-875-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRINERS HOSPITALS FOR CHILDREN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHRINERS HOSPITALS FOR CHILDREN",
        "enumeration_date": "2011-11-28",
        "last_updated": "2019-09-20",
        "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": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shriners Hospitals for Children - Erie Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shriners Hospitals for Children - Erie Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.