Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners Children's Medical Group, Shriners Children's
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P. MCCABE (EXECUTIVE VICE PRESIDENT)
(813) 281-0300
Entity
Organization
Contact information
Practice address
3551 N BROAD ST, PHILADELPHIA, PA 19140-4160
(813) 518-7679
(813) 281-8656
Mailing address
PO BOX 8500 LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(813) 518-7679
(813) 281-8656
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207L00000X
Anesthesiology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/26/2022
Last updated
03/27/2026
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