Organization · Type 2 NPI

Shriners Hospitals for Children

Pediatric Orthopaedic Surgery Physician · Greenville, SC

NPI number 1134566953 Active

Practice location

950 W Faris Rd
Greenville, SC 29605-4255

Call (864) 271-3444 Map

Fax (864) 271-4471

Mailing address

PO Box 8500, Lockbox #7642
Philadelphia, PA 19178-7642

Specialties and licenses

Taxonomy	Code	License
Pediatric Orthopaedic Surgery Physician Primary	207XP3100X	None listed
Physician Assistant	363A00000X	None listed
Nurse Practitioner	363L00000X	None listed

Pediatric Orthopaedic Surgery Physician: An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

27 other providers at this address

NPI record

NPI: 1134566953
Entity type: Organization (Type 2)
Issued: Jun 3, 2013
Last updated: Jan 13, 2023
Status: Active

Other names

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Shriners Hospitals for Children Professional Services · other name
Shriners Hospitals for Children Professional Services · other name

Authorized official

Jerry G. Gantt
President
(813) 281-0300

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1134566953

Shriners Hospitals for Children's National Provider Identifier is 1134566953, issued on Jun 3, 2013. The primary taxonomy on file is Pediatric Orthopaedic Surgery Physician (207XP3100X), and the practice location is in Greenville, SC. The record was last updated on Jan 13, 2023.