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 1134566953

Shriners Hospitals for Children is a Pediatric Orthopaedic Surgery Physician in Greenville, South Carolina. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3

Practice location Address checks out

950 W Faris Rd
Greenville, SC 29605-4255
Phone: (864) 271-3444
Fax: (864) 271-4471
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
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1134566953
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Gantt — President · (813) 281-0300
Other names Shriners Hospitals For Children Professional Services; Shriners Hospitals For Children Professional Services
NPI enumeratedJune 3, 2013
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023
Mailing addressPo Box 8500, Lockbox #7642, Philadelphia, PA 19178-7642

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