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 1396187282

Shriners Hospitals for Children provides Pediatric Orthopaedic Surgery Physician services in Salt Lake City, Utah. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

1275 E Fairfax Rd
Salt Lake City, UT 84103-4324 Not confirmed with CMS for 12 years — call before visiting
Phone: (801) 536-3714
Fax: (801) 536-3799
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 number1396187282
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Martin — Administrator · (801) 536-3700
Other names Shriners Hospitals For Children (Professional Services)
NPI enumeratedJuly 22, 2013
Last updated in NPPESMay 20, 2014
Mailing addressPo Box 8500, Lockbox #7642, Philadelphia, PA 19178-7642

Other providers in Salt Lake City