SHRINERS HOSPITALS FOR CHILDREN (NPI# 1114369006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114369006 |
| Entity Type | Organization |
| Organization Name | SHRINERS HOSPITALS FOR CHILDREN |
| Other Organization Name | SHRINERS HOSPITALS FOR CHILDREN (PROFESSIONAL SERVICES) |
| Practice Address |
2025 E River Pkwy Minneapolis MN 55414-3604 |
| Mailing Address |
Po Box 8500 Lockbox #7642 Philadelphia PA 19178-7642 |
| Practice Telephone | 6125966100 |
| Practice Fax Number | 6125967634 |
| Mailing Telephone | 6125966100 |
| Mailing Fax Number | 6125967634 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | CHARLES LOBECK (ADMINISTRATOR) |
| Authorized Official Telephone | 6125966111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Shriners Hospitals for Children (Professional Services) | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255461075 | Shriners Hospitals for Children | General Acute Care Hospital | 1275 Fairfax Rd, Salt Lake City, UT 84103-4324 | 2007-03-07 |
| 1508908591 | Shriners Hospitals for Children | General Acute Care Hospital | 3160 Genevea St, Los Angeles, CA 90020 | 2007-02-13 |
| 1669513941 | Shriners Hospitals for Children | General Acute Care Hospital | 815 Market Street, Galveston, TX 77550 | 2007-02-09 |
| 1285250977 | Shriners Hospitals for Children | Clinic/Center | 215 Radio Drive, Suite 100, Woodbury, MN 55125 | 2020-06-18 |
| 1952962011 | Shriners Hospitals for Children | Clinic/Center | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2019-06-27 |
| 1477119170 | Shriners Hospitals for Children | Clinic/Center | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2019-05-17 |
| 1992289490 | Shriners Hospitals for Children | Clinic/Center | 215 Radio Drive, Suite 100, Woodbury, MN 55125 | 2018-09-20 |
| 1336639780 | Shriners Hospitals for Children | Anesthesiology | 110 Conn Ter, Lexington, KY 40508-3206 | 2018-05-11 |
| 1922597640 | Shriners Hospitals for Children | Anesthesiology | 4400 Clayton Ave, Saint Louis, MO 63110-1624 | 2018-05-08 |
| 1821587544 | Shriners Hospitals for Children | Anesthesiology | 909 S Fair Oaks Ave, Pasadena, CA 91105-2625 | 2018-05-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHRINERS HOSPITALS FOR CHILDREN | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 |
| Iowa Business Entities | SHRINERS HOSPITALS FOR CHILDREN | 2900 Rocky Point Dr, Tampa, FL 33607 |
| Oregon Corporations, Companies and Business Names | SHRINERS HOSPITALS FOR CHILDREN | 2900 N Rocky Point Dr, Tampa, FL 33607 |
| Virginia Business Entities | SHRINERS HOSPITALS FOR CHILDREN | 2900 Rocky Point Dr., Tampa, Florida 33607 |
| Vermont Business Registrations | SHRINERS HOSPITALS FOR CHILDREN | 2900 Rocky Point Drive, Tampa, FL 33607 |
| Street Address |
2025 E RIVER PKWY |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55414-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124126412 | Sarah Jean Werner | Orthopaedic Surgery | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2006-09-20 |
| 1437647682 | Shriners Hospitals for Children | Anesthesiology | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2018-04-24 |
| 1154721785 | Pediatric Orthotic and Prosthetic Services - Midwest, LLC | Prosthetic/Orthotic Supplier | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2014-09-02 |
| 1629477310 | Rebecca Rouse | Physical Therapist | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2014-08-19 |
| 1730432709 | Allyce Katherine Fisk | Physician Assistant | 2025 E River Pkwy, Minneapolis, MN 55414 | 2012-10-16 |
| 1669799201 | Nancy M Easter | Social Worker | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2010-04-21 |
| 1669702882 | Kim Marie Nieuwenhuis | Orthotist | 2025 E River Pkwy, Shriners Hospitals for Children Twin Cities, Minneapolis, MN 55414 | 2010-01-11 |
| 1477883130 | Kari Ann Leifheit | Physical Therapist | 2025 E River Pkwy, Shriners Hospital, Minneapolis, MN 55414 | 2009-12-31 |
| 1497999676 | Charles Raydell Finnet | Physician Assistant | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2009-05-01 |
| 1811190788 | Carl Kaoru Sakamoto | Anesthesiology | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2007-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750554747 | Emily Margaret Andrisevic | Orthopaedic Surgery | 2512 S 7th St, Minneapolis, MN 55454-1404 | 2008-04-10 |
| 1922150697 | Kenneth John Guidera | Orthopaedic Surgery | 2025 E River Pkwy, Minneapolis, MN 55414-3604 | 2007-01-16 |
| 1699847400 | Richard Jerome Aadalen | Orthopaedic Surgery | 2025 E River Parkway, Shriners Hospitals for Children Twin Cities, Minneapolis, MN 55414-3604 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336148345 | James A Engels | Orthopaedic Surgery | 5901 Lincoln Dr, Edina, MN 55436 | 2005-07-20 |
| 1407171226 | Aaron J Huser | Orthopaedic Surgery | 200 University Ave E, Saint Paul, MN 55101-2507 | 2010-04-05 |
| 1871798751 | Jennifer Casey Laine | Orthopaedic Surgery | 200 University Ave E, Saint Paul, MN 55101-2507 | 2007-06-19 |
| City | MINNEAPOLIS |
| Zip Code | 55414 |
Please comment or provide details below to improve the information on SHRINERS HOSPITALS FOR CHILDREN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.