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

Shriners Hospitals for Children

Organization Pediatric Orthopaedic Surgery Physician · NPI 1114369006

Shriners Hospitals for Children is a Pediatric Orthopaedic Surgery Physician in Minneapolis, Minnesota. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3

Practice location Address checks out

2025 E River Pkwy
Minneapolis, MN 55414-3604
Phone: (612) 596-6100
Fax: (612) 596-7634
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Orthopaedic Surgery Physician (primary) Taxonomy 207XP3100X
Pediatric Nurse Practitioner Taxonomy 363LP0200X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1114369006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Lobeck — Administrator · (612) 596-6111
Other names Shriners Hospitals For Children (Professional Services)
NPI enumeratedJuly 22, 2013
Last updated in NPPESOctober 7, 2014
Mailing addressPo Box 8500, Lockbox #7642, Philadelphia, PA 19178-7642

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