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

Shriners Hospitals for Children

Organization Anesthesiology Physician · NPI 1528556776

Shriners Hospitals for Children is an Anesthesiology Physician in Salt Lake City, Utah. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1275 E Fairfax Rd
Salt Lake City, UT 84103
Phone: (801) 536-3500
Fax: (801) 536-3782
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1528556776
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 NPPESMay 24, 2018
Mailing addressPo Box 8500 Lockbox #7642, Philadelphia, PA 19178-0001

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