Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shriners Hospitals for Children

Organization Anesthesiology Physician · NPI 1023506276

Shriners Hospitals for Children is an Anesthesiology Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
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Practice location Address checks out

3551 N Broad St
Philadelphia, PA 19140-4160
Phone: (215) 430-4000
Fax: (215) 430-4079
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Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Pediatric Anesthesiology Physician Taxonomy 207LP3000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1023506276
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Gantt — President · (813) 281-0300
Other names Shriners Hospitals For Children Professional Anesthesia Services; Shriners Hospitals For Children Professional Anesthesia Services
NPI enumeratedApril 24, 2018
Last updated in NPPESFebruary 8, 2019
Mailing addressPo Box 8500 Lockbox #7642, Philadelphia, PA 19178-7642

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