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

Shriners Hospitals for Children

Organization Pediatric Surgery Physician · NPI 1568809358

Shriners Hospitals for Children is a Pediatric Surgery Physician in Dayton, Ohio. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
4

Practice location Address checks out

1 Children's Plaza 2 W
Dayton, OH 45404-1815
Phone: (513) 872-6000
Fax: (513) 872-6025
Show map & directions

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X
Pediatric Surgery Physician Taxonomy 2086S0120X
Family Nurse Practitioner Taxonomy 363LF0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1568809358
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 8, 2024
Certification dateJanuary 8, 2024
Mailing addressPo Box 8500, Lockbox #7642, Philadelphia, PA 19178-7642

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