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 1568803732

Shriners Hospitals for Children provides Pediatric Orthopaedic Surgery Physician services in Shreveport, Louisiana. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

3100 Samford Ave
Shreveport, LA 71103-4239
Phone: (318) 222-5704
Fax: (318) 424-7610
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 number1568803732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Gantt — President · (813) 281-0300
Other names Shriners Hospitals For Children (Professional Services); Shriners Hospitals For Children (Professional Services)
NPI enumeratedJuly 16, 2013
Last updated in NPPESSeptember 20, 2019
Mailing addressPo Box 8500, Lockbox #7642, Philadelphia, PA 19178-7642

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