SHRINERS HOSPITALS FOR CHILDREN (NPI# 1114415361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114415361 |
| Entity Type | Organization |
| Organization Name | SHRINERS HOSPITALS FOR CHILDREN |
| Other Organization Name | SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL ANESTHESIA SERVICES |
| Practice Address |
2425 Stockton Blvd Sacramento CA 95817-2215 |
| Mailing Address |
Po Box 8500 Lockbox #7642 Philadelphia PA 19178-7642 |
| Practice Telephone | 9164532000 |
| Practice Fax Number | 9164532388 |
| Mailing Telephone | 8132810300 |
| Mailing Fax Number | 8132818113 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |
| Authorized Official Name | JERRY G. GANTT (PRESIDENT) |
| Authorized Official Telephone | 8132810300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Shriners Hospitals for Children Professional Anesthesia 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 |
| Oklahoma Business Registrations | SHRINERS HOSPITALS FOR CHILDREN | Po Box 31356, Tampa, FL 33631-3356 |
| Indiana Business Entities | SHRINERS HOSPITALS FOR CHILDREN, INC. | Po Box 31356, Tampa, FL 33631-3356 |
| Street Address |
2425 STOCKTON BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043292402 | David Pleasure | Psychiatry & Neurology | 2425 Stockton Blvd, Shriners Hospital for Children Northern California, Sacramento, CA 95817-2215 | 2005-11-18 |
| 1407326374 | Janice Marie Conroy | Registered Nurse | 2425 Stockton Blvd, Sacramento, CA 95817-2215 | 2018-12-04 |
| 1578038493 | Jennifer Lee Miranda | Nurse Practitioner | 2425 Stockton Blvd, Sacramento, CA 95817-2215 | 2018-10-07 |
| 1215459318 | Sally Ann Martens | Nurse Practitioner | 2425 Stockton Blvd, Sacramento, CA 95817-2215 | 2017-07-10 |
| 1417490178 | Stacey Patee Foliente | Occupational Therapist | 2425 Stockton Blvd, Sacramento, CA 95817-2215 | 2016-11-29 |
| 1639620305 | Maria Aurora Green | Physical Therapist | 2425 Stockton Blvd, Sacramento, CA 95817-2215 | 2016-10-18 |
| 1881144103 | Lauren Cochran | Physical Therapist | 2425 Stockton Blvd, Pt/ot Department, Sacramento, CA 95817-2215 | 2016-10-11 |
| 1104376623 | Suzanne Bratkovich | Physical Therapist | 2425 Stockton Blvd, Sacramento, CA 95817-2215 | 2016-10-07 |
| 1912457540 | Gillian Williams | Physical Therapist | 2425 Stockton Blvd, Sacramento, CA 95817 | 2016-10-06 |
| 1558811182 | Laura Van Houtryve | Physical Therapist | 2425 Stockton Blvd, Pt/ot Dept, Sacramento, CA 95817-2215 | 2016-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518432319 | Annette A Keochekian Md Inc | Anesthesiology | 2288 Auburn Blvd Ste 201, Sacramento, CA 95821-1620 | 2018-10-08 |
| 1881044857 | Karl Kristiansen | Anesthesiology | Department of Anesthesiology and Pain Medicine, 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2016-06-20 |
| 1174949218 | Eugene Andre Mansour | Anesthesiology | 4150 V St Street, Suite 1200, Sacramento, CA 95817-1460 | 2014-03-13 |
| 1912246281 | Cristina Chandler | Anesthesiology | 4150 V St.ucdmc Dept. of Anesthesiology & Pain Medicine, Pssb Suite 1200, Sacramento, CA 95817-1460 | 2013-02-06 |
| 1356619936 | Rory Scott Jaffe | Anesthesiology | 1215 K St, Ste 800, Sacramento, CA 95814-3945 | 2011-12-09 |
| 1225319015 | Kaitlin J Nicoletti | Anesthesiology | 3939 J Street Suite 310, Sacramento, CA 95819 | 2011-09-07 |
| 1720374622 | Tyler Bevins | Anesthesiology | 2315 Stockton Blvd # Op512, Sacramento, CA 95817-2201 | 2011-06-20 |
| 1396064408 | Charles John De Mesa | Anesthesiology | 4860 Y St Ste 3020, Sacramento, CA 95817-2307 | 2010-05-28 |
| 1619101680 | Niraj Niranjan | Anesthesiology | 4150 V Street Pssb Suite 1200, Ucdmc Dept. of Anesthesiology & Pain Medicine, Sacramento, CA 95817-1460 | 2009-05-06 |
| 1811137144 | Marissa Gomez Vadi | Anesthesiology | Patient Support Services Bldg, 4150 V Street, Suite 1200, Sacramento, CA 95817 | 2009-02-26 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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| 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.