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 1356880199

Shriners Hospitals for Children is a Pediatric Orthopaedic Surgery Physician in Johnson City, Tennessee. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

410 N State Of Franklin Rd Ste 130
Johnson City, TN 37604-6971
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

Record details

NPI number1356880199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Romberger — Administrator · (864) 271-3444
Other names Shriners Hospitals For Children Orthopedic Pro Services - Johnson City
NPI enumeratedFebruary 13, 2017
Last updated in NPPESFebruary 27, 2017
Mailing addressPo Box 8500, Lockbox #7642, Philadelphia, PA 19178-7642

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