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 1568803732

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

In the registry since
2013

Practice location Address checks out

3100 Samford Ave
Shreveport, LA 71103-4239
Phone: (318) 222-5704
Fax: (318) 424-7610
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 number1568803732
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 enumeratedJuly 16, 2013
Last updated in NPPESSeptember 20, 2019
Mailing addressPo Box 8500, Lockbox #7642, Philadelphia, PA 19178-7642

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