OrganizationActive
Shriners Hospitals for Children
NPI 1568809358 · Plastic and Reconstructive Surgery Physician · Dayton, OH
Provider details
- NPI number
- 1568809358
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerry Gantt, President(813) 281-0300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Surgery Physician2086S0120X
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Pediatric Nurse Practitioner363LP0200X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Children'S Plaza
2 West
Dayton, OH 45404-1815
Phone: (513) 872-6000
Fax: (513) 872-6025
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 8500
Philadelphia, PA 19178-7642
Other names (DBA / former)
- Other name
- Shriners Hospitals for Children Professional Services
- Other name
- Shriners Hospitals for Children Professional Services
Registry dates
- Enumerated
- 2013-06-03
- Last updated
- 2024-01-08
- Certified
- 2024-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.