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

Shriners Hospitals for Children

Organization Pediatric Orthopaedic Surgery Physician · NPI 1356880199

Shriners Hospitals for Children provides Pediatric Orthopaedic Surgery Physician services in Johnson City, Tennessee. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

410 N State Of Franklin Rd Ste 130
Johnson City, TN 37604-6971
Phone: (864) 271-3444
Fax: (864) 271-4471
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Orthopaedic Surgery Physician (primary) Taxonomy 207XP3100X

Record details

NPI number1356880199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Romberger — Administrator · (864) 271-3444
Other names Shriners Hospitals For Children Orthopedic Pro Services - Johnson City
NPI enumeratedFebruary 13, 2017
Last updated in NPPESFebruary 27, 2017
Mailing addressPo Box 8500, Lockbox #7642, Philadelphia, PA 19178-7642

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