SHRINERS HOSPITALS FOR CHILDREN (NPI# 1871930693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871930693 |
| Entity Type | Organization |
| Organization Name | SHRINERS HOSPITALS FOR CHILDREN |
| Other Organization Name | SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL SERVICES |
| Practice Address |
2211 N Oak Park Ave Chicago IL 60707-3351 |
| Mailing Address |
Po Box 8500 Lockbox #7642 Philadelphia PA 19178-7642 |
| Practice Telephone | 7733855400 |
| Practice Fax Number | 7733855453 |
| Mailing Telephone | 7733855445 |
| Mailing Fax Number | 7733855453 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | MARK NIEDERPRUEM (ADMINISTRATOR) |
| Authorized Official Telephone | 7733855445 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| 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 |
| 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 |
2211 N OAK PARK AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60707-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790770659 | Shubhra Mukherjee | Pediatrics | 2211 N Oak Park Ave, Chicago, IL 60707-3392 | 2005-09-16 |
| 1134740111 | Emily Mary Thomas | Occupational Therapist | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2020-05-01 |
| 1093335770 | Kyle Cressy Deane | Psychologist | 2211 N Oak Park Ave, Chicago, IL 60707-3392 | 2020-04-22 |
| 1295299600 | Allison Ragins | Physician Assistant | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2019-01-30 |
| 1033686878 | Katrina Marie Vogel | Physician Assistant | 2211 N Oak Park Ave, Chicago, IL 60707-3392 | 2018-10-30 |
| 1326536574 | Shriners Hospitals for Children | Anesthesiology | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2018-04-24 |
| 1427550748 | Elizabeth Hampton | Physical Therapist | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2018-03-02 |
| 1366986184 | Lynn Freedman | Nurse Practitioner | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2016-12-13 |
| 1992256531 | Kelsey Lynn Moon | Physician Assistant | 2211 N Oak Park Ave, Chicago, IL 60707-3392 | 2016-10-19 |
| 1760835938 | Pediatric Orthotic and Prosthetic Services - Midwest, LLC | Prosthetic/Orthotic Supplier | 2211 N Oak Park Ave, Chicago, IL 60707-3351 | 2016-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679077408 | Karen Ennis, Slp, Inc. | Speech-Language Pathologist | 1709 73rd Ct, Elmood Park, IL 60707 | 2018-03-19 |
| 1518324995 | Dosha Grant | Registered Nurse | 2317 N Rutherford, Elmwood Park, IL 60707 | 2016-01-15 |
| 1962774794 | Oak Park Dental Group | Dentist | 7034 W. North Ave., Chicago, IL 60707 | 2012-02-09 |
| 1326277005 | Resurrection Services | Internal Medicine | 2433 North Harlem Ave, Ste 100, Chicago, IL 60707 | 2009-07-02 |
| 1134370059 | Mefagui Dental Office P.C. | Dentist | 6913 W. Grand Ave, Chicago, IL 60707 | 2008-10-09 |
| 1821265760 | Carly M. Smith | Chiropractor | 7716 W. North, Elmwood Pk, IL 60707 | 2008-05-09 |
| 1063695096 | Henry J. Hagopian D.d.s. P.C. | Dentist | 7518 W. North Avenue, Elmwood Park, IL 60707 | 2007-12-13 |
| 1386864411 | Brian M Caraba Dds PC | Dentist | 7124 W Diversey Ave, Chicago, IL 60707 | 2007-04-30 |
| 1104041243 | Clinics for Wellness and Neuropathy, LLC | Internal Medicine | 2333 N. Harlem, Chicago, IL 60707 | 2007-04-16 |
| 1972621050 | Sid Anderson | Psychologist | 2408 Westbrook Drive, Elmwood Park, IL 60707 | 2007-03-27 |
| Find all providers in zip 60707 | ||||
| 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 |
|---|---|---|---|---|
| 1871138933 | Brigid Smigiel | Orthopaedic Surgery | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2019-11-13 |
| 1679781355 | Orthopaedic and Rehabilitation Centers Sc | Orthopaedic Surgery | 5616 N Western Ave, Chicago, IL 60659-5113 | 2007-05-18 |
| 1427260959 | Joseph Aloysius Janicki | Orthopaedic Surgery | 225 E Chicago Ave, Box #69, Chicago, IL 60611-2991 | 2007-05-04 |
| 1487704052 | Michelle Lee Sagan | Orthopaedic Surgery | 225 E Chicago Ave, Box 69, Chicago, IL 60611-2991 | 2007-01-12 |
| 1306825435 | Monica Kogan | Orthopaedic Surgery | 1611 W Harrison St, #400, Chicago, IL 60612-4861 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831402007 | Verena Michaela Schreiber | Orthopaedic Surgery | 920 Milwaukee Ave, Lincolnshire, IL 60069 | 2010-07-16 |
| 1477726610 | J.e.bertolini,m.d. Sc. | Orthopaedic Surgery | 202 N Hammes Ave, Suite D, Joliet, IL 60435-8129 | 2008-04-09 |
| 1487879961 | Illinois Valley Community Hospital | Orthopaedic Surgery | 920 West St, Suite 211, Peru, IL 61354-2763 | 2007-04-17 |
| 1841230471 | Krishna Anjali Singh | Orthopaedic Surgery | 301 N 8th St, Pav4b, Springfield, IL 62701-1041 | 2006-06-08 |
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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.