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

Shriners Hospitals for Children

Organization Pediatric Orthopaedic Surgery Physician · NPI 1659615706

Shriners Hospitals for Children is a Pediatric Orthopaedic Surgery Physician in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2012
Specialties on file
4
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Practice location Address checks out

3551 N Broad St
Philadelphia, PA 19140-4160
Phone: (215) 430-4000
Fax: (215) 430-4079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 599 West State Rd, Doylestown, PA 18901-4000 — (215) 430-4000

Specialties & licences

Pediatric Orthopaedic Surgery Physician (primary) Taxonomy 207XP3100X (PA)
Physical Therapist Taxonomy 225100000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1659615706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Gantt — President · (813) 281-0300
Other names Shriners Children'S Philadelphia; Shriners Hospital For Services Professional Services
NPI enumeratedNovember 15, 2012
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023
Mailing addressPo Box 8500, Lockbox #7642, Philadelphia, PA 19178-7642

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