Organization · Type 2 NPI

Shriners Hospitals for Children

Pediatric Orthopaedic Surgery Physician · St. Louis, MO

NPI number 1275970295 Active

Practice location

4400 Clayton Ave
St. Louis, MO 63110-1624

Call (314) 432-3600 Map

Fax (314) 432-2930

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
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.

7 other providers at this address

NPI record

NPI: 1275970295
Entity type: Organization (Type 2)
Issued: May 31, 2013
Last updated: Dec 7, 2022
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 1275970295

Shriners Hospitals for Children's National Provider Identifier is 1275970295, issued on May 31, 2013. The primary taxonomy on file is Pediatric Orthopaedic Surgery Physician (207XP3100X), and the practice location is in St. Louis, MO. The record was last updated on Dec 7, 2022.