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 1396187282

Shriners Hospitals for Children is a Pediatric Orthopaedic Surgery Physician in Salt Lake City, Utah. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

1275 E Fairfax Rd
Salt Lake City, UT 84103-4324
Phone: (801) 536-3714
Fax: (801) 536-3799
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 number1396187282
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Martin — Administrator · (801) 536-3700
Other names Shriners Hospitals For Children (Professional Services)
NPI enumeratedJuly 22, 2013
Last updated in NPPESMay 20, 2014
Mailing addressPo Box 8500, Lockbox #7642, Philadelphia, PA 19178-7642

Other providers in Salt Lake City