SHRINERS HOSPITALS FOR CHILDREN (NPI# 1477119170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477119170 |
| Entity Type | Organization |
| Organization Name | SHRINERS HOSPITALS FOR CHILDREN |
| Other Organization Name | SHRINERS HEALTHCARE FOR CHILDREN - FLORIDA |
| Practice Address |
12502 Usf Pine Dr Tampa FL 33612-9411 |
| Mailing Address |
Po Box 8500 Lockbox #7642 Philadelphia PA 19178-7642 |
| Practice Telephone | 8139722250 |
| Mailing Telephone | 8132810300 |
| Mailing Fax Number | 8132810943 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-07-31 |
| 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 |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shriners Healthcare for Children - Florida | 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 |
| 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 |
| 1326536574 | Shriners Hospitals for Children | Anesthesiology | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2018-04-24 |
| 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 |
| Street Address |
12502 USF PINE DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-9411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336113380 | Dennis Paul Grogan | Orthopaedic Surgery | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2006-02-15 |
| 1952962011 | Shriners Hospitals for Children | Clinic/Center | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2019-06-27 |
| 1194287532 | Natasha Casimir | Physical Therapist | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2019-04-04 |
| 1851853576 | Sandra B Smith | Physical Therapist | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2019-04-02 |
| 1467914192 | Lynn Marie White | Occupational Therapist | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2019-04-02 |
| 1265920417 | Shriners Hospitals for Children | Anesthesiology | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2018-04-24 |
| 1417486341 | Jamie L Pirone | Emergency Medical Technician, Basic | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2017-06-05 |
| 1093257537 | Kristin Marie Hubbell | Occupational Therapist | 12502 Usf Pine Dr, Tampa, FL 33612 | 2016-11-15 |
| 1861852683 | Erica C. Keto | Physical Therapist | 12502 Usf Pine Dr, Tampa, FL 33612 | 2016-03-07 |
| 1750768123 | Amy Flannigan Dittmer | Nurse Practitioner | 12502 Usf Pine Dr, Tampa, FL 33612-9411 | 2015-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173926 | Haven Medical Center, Inc. | Clinic/Center | 11961 N Florida Ave, Tampa, FL 33612-5213 | 2020-10-27 |
| 1396351110 | Claudia B Gonzalez | Clinic/Center | 7819 N Dale Mabry Hwy Ste 104, Tampa, FL 33614-3210 | 2020-09-17 |
| 1154936904 | El Sol Medical Center Inc | Clinic/Center | 2112 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6512 | 2020-09-09 |
| 1689287351 | Tampa Bay Medical Mental & Behavioral Health Services Inc | Clinic/Center | 8910 N Dale Mabry Hwy Ste 17, Tampa, FL 33614-1580 | 2020-08-24 |
| 1801428685 | Primera Health Center Inc | Clinic/Center | 7820 N Armenia Ave Ste A, Tampa, FL 33604-3852 | 2020-02-10 |
| 1295389153 | Tampa Wellness Group LLC | Clinic/Center | 3750 Gunn Hwy Ste 200, Tampa, FL 33618-8916 | 2019-07-30 |
| 1245899954 | Pain Free Acupuncture, LLC | Clinic/Center | 14195 Bruce B Downs Blvd Ste 2, Tampa, FL 33613-3805 | 2019-06-07 |
| 1205337961 | Rogers Memorial Hospital Inc | Clinic/Center | 2002 N Lois Ave Ste 400, Tampa, FL 33607-2394 | 2018-02-27 |
| 1952801581 | Max Health Wellness Corp | Clinic/Center | 6105 Memorial Hwy Ste S, Tampa, FL 33615-4506 | 2018-02-20 |
| 1427569920 | Undersea Oxygen Clinic LLC | Clinic/Center | 701 N West Shore Blvd Fl 3, Tampa, FL 33609-1122 | 2017-10-24 |
| Find all providers in TAMPA | ||||
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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.