Shriners Hospitals for Children

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

H-042 Issued in WA

Legal business name

SHRINERS HOSPITALS FOR CHILDREN

Practice address

911 W 5TH Ave
Spokane, WA 99204-2901

Phone

(509) 623-0422

Fax

(509) 623-0474

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Peter Brewer

Title

Administrator

Phone

(509) 623-0422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Hospital certification: CCN 503302

Legal name

SHRINERS HOSPITALS FOR CHILDREN

Certification status

Active

Provider type (POS)

Hospital – Children’s

Participating since

May 9, 2011

Last certification

May 9, 2011

Beds

30

Ownership / control type

Private (not for profit)

Organization structure

CorporationNon-profit

Incorporated

Jun 18, 1925 in CO

Enrollment address

911 W 5TH Ave
Spokane, WA 99204-2901
Main/Primary Hospital Location

Hospital subgroups

Children’s

Listed as

Shriners Hospital for ChildrenCCN 503302

Type

Childrens

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

Tax ID family

Shriners Hosp for Children49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

• Shriners Hospitals for Children

  • Clinic/Center
  • Richland, WA
  • NPI 1013677798
  NPD tax ID
• Shriners Hospitals for Children

  • Rehabilitation Clinic/Center
  • Vancouver, WA
  • NPI 1194610188
  NPD tax ID
• Shriners Hospitals for Children

  • Clinic/Center
  • Vancouver, WA
  • NPI 1346135431
  NPD tax ID
• Shriners Hospitals for Children

  • Anesthesiology Physician
  • Spokane, WA
  • NPI 1710475967
  NPD tax ID
• Shriners Hospital Pharmacy

  • Pharmacy
  • Sacramento, CA
  • NPI 1003165242
  NPD tax ID
• Shriners Hospitals for Children

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1023506276
  NPD tax ID
• Shriners Hospitals for Children

  • Rehabilitation Clinic/Center
  • Springfield, MA
  • NPI 1033845516
  NPD tax ID
• Shriners Hospitals for Children

  • Clinic/Center
  • Doylestown, PA
  • NPI 1033879713
  NPD tax ID
• Shriners Hospitals for Children

  • Anesthesiology Physician
  • Portland, OR
  • NPI 1104314350
  NPD tax ID
• Shriners Hospitals for Children

  • Rehabilitation Clinic/Center
  • Erie, PA
  • NPI 1164799789
  NPD tax ID
• Shriners Hospitals for Children

  • Ambulatory Surgical Clinic/Center
  • Lexington, KY
  • NPI 1164811923
  NPD tax ID
• Shriners Hospitals for Children

  • Ambulatory Surgical Clinic/Center
  • Pasadena, CA
  • NPI 1225469356
  NPD tax ID

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Leslie Douglas Stewart, MD

  • Surgery Physician
  • Memphis, TN
  • NPI 1902874282

  Corporate Director, Corporate Officer

  CMS ownership

All facility ownership & control disclosures 9

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Bronson, M.D.

  • Orthopaedic Surgery Physician
  • Spokane, WA
  • NPI 1720033673
  NPD (past)
• Deborah J Cornish-Vermaire, MD

  • Anesthesiology Physician
  • Spokane, WA
  • NPI 1912917832
  NPD (past)
• Ted Carr Sousa, M.D.

  • Orthopaedic Surgery Physician
  • Spokane, WA
  • NPI 1932341161
  NPD (past)
• Bryan J Tompkins, MD

  • Pediatric Orthopaedic Surgery Physician
  • Spokane, WA
  • NPI 1538354766
  NPD (past)
• Heather Renee Rojas, NP-C

  • Family Nurse Practitioner
  • Sacramento, CA
  • NPI 1467888719
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1992848857",
    "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": "509-623-0422",
            "fax_number": "509-623-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W 5TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042901",
            "telephone_number": "509-623-0422",
            "fax_number": "509-623-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRINERS HOSPITALS FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-623-0422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "WA",
            "license": "H-042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zadia Short
• Heidi Lynn Shovell, M.D.
• Madison Nicole Shrader-Bosch
• Shriners Hospitals for Children
• Shriners Hospitals for Children
• Olivia Shrock, MSW
• Charlene Shropshire
• Patricia Noel Shropshire, SUDP, AAC
• Elizabeth Shrosbree, CDPT
• Taylor Marie Shuff, DPT

• Children's Hospital in Spokane, WA
• Providers in Spokane, WA by specialty
• Children's Hospital in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.