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SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL ANESTHESIA SERVICES
NPI 1235627480
Anesthesiology in Dayton, OH

Active since April 24, 2018
1 CHILDREN'S PLAZA, 2 WEST, DAYTON, OH 45404(513) 872-6000(513) 872-6025 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2021, Apr 24, 2018 (2 updates tracked since 2018).

About Shriners Hospitals For Children Professional Anesthesia Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL ANESTHESIA SERVICES (NPI 1235627480) is a healthcare organization registered as an anesthesiology in Dayton, Ohio and active in the NPI registry since April 2018. The organization lists Jerry G. Gantt, President, as its authorized official.

NPPES Registry Identity

NPI1235627480
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameSHRINERS HOSPITALS FOR CHILDREN
Location Address1 CHILDREN'S PLAZA, 2 WESTDayton, OH 45404-1815
Mailing AddressPo Box 8500 Lockbox #7642Philadelphia, PA 19178-7642 · (813) 281-0300 · Fax (813) 281-8113
Phone(513) 872-6000
Fax(513) 872-6025
Organization SubpartNo
Authorized OfficialJerry G. GanttPresident · (813) 281-0300
Enumeration DateApril 24, 2018
Last NPPES UpdateFebruary 5, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2021
✔ NPI 1235627480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1 CHILDREN'S PLAZA, Dayton, OH 45404
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Other Names 1

Other NameShriners Hospitals For Children Professional Anesthesia Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shriners Hospitals For Children Professional Anesthesia Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

53

Medicare enrollment records show 53 clinicians reassign Medicare billing to Shriners Hospitals For Children Professional Anesthesia Services, which bills Medicare for the services they deliver. Of these, 28 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Anesthesiology20
Nurse Practitioner7
Diagnostic Radiology5
General Surgery5
Plastic and Reconstructive Surgery5
Critical Care (Intensivists)4
Pediatric Medicine4
Cardiac Surgery1
2 other specialties2

Nearest to this location (20)

See all 53
Michael Adams
Anesthesiology
NPI 1326508789
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 641-4000
✔ PECOSSame address
William Aitchison, MD
Anesthesiology
NPI 1144411349
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 641-3477
✔ PECOSSame address
Sean Antosh, MD
Anesthesiology
NPI 1093099707
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 641-3477
✔ PECOSSame address
Fatu Bangura, MD
Anesthesiology
NPI 1871988675
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 641-4000
✔ PECOS✔ Accepts MedicareSame address
Jason Daume, MD
Anesthesiology
NPI 1801935796
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 641-3477
✔ PECOSSame address
Jennifer De Vries, MD
Anesthesiology
NPI 1891768974
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 641-3477
✔ PECOSSame address
Katherine Demasie, MD
Anesthesiology
NPI 1487802112
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 641-3477
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Ey, MD
Diagnostic Radiology
NPI 1346222312
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 689-9117
✔ PECOS✔ Accepts MedicareSame address
Stacy Ferguson, MD
Anesthesiology
NPI 1285052308
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 641-3477
✔ PECOSSame address
Christopher Gordon, MD
Plastic and Reconstructive Surgery
NPI 1891875563
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 641-4000
✔ PECOSSame address
Meta Haynes, NP
Nurse Practitioner
NPI 1205591229
1 CHILDRENS PLZ # 2WEST
Dayton, OH 45404
(513) 872-6201
✔ PECOSSame address
Clare Herlihy, MD
Anesthesiology
NPI 1407081573
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 641-3477
✔ PECOSSame address
Sean Kelleher, M.D.
Diagnostic Radiology
NPI 1871835926
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 641-3888
✔ PECOS✔ Accepts MedicareSame address
Salim Mancho, DO
Plastic and Reconstructive Surgery
NPI 1790989168
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 641-4000
✔ PECOS✔ Accepts MedicareSame address
Samantha Wirkowski, DO
Critical Care (Intensivists)
NPI 1598226532
1 CHILDRENS PLZ
Dayton, OH 45404
(952) 913-1343
✔ PECOSSame address
Francis Pianki, DO
Diagnostic Radiology
NPI 1073781704
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 689-9117
✔ PECOS✔ Accepts MedicareSame address
Amber Lincicome, APRN, CPNP-AC
Nurse Practitioner
NPI 1689355273
1 CHILDRENS PLZ # 2
Dayton, OH 45404
(513) 872-6000
✔ PECOSSame address
Michael Lopez, MD
Ophthalmology
NPI 1205192135
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 641-4000
✔ PECOSSame address
Anne Calkins, MD
Diagnostic Radiology
NPI 1295710507
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 689-9117
✔ PECOS✔ Accepts MedicareSame address
Mark Warren, DO
Diagnostic Radiology
NPI 1174729321
1 CHILDRENS PLZ
Dayton, OH 45404
(937) 689-9117
✔ PECOS✔ Accepts MedicareSame address
See all 53 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shriners Hospitals For Children's NPI number?

The NPI number for Shriners Hospitals For Children is 1235627480. It was assigned to this organization in the NPPES registry on April 24, 2018. The provider is also known as Shriners Hospitals For Children Professional Anesthesia Services.

Where is Shriners Hospitals For Children located?

Shriners Hospitals For Children is located at 1 Children's Plaza 2 West, Dayton, OH 45404. The listed phone number is (513) 872-6000.

What is Shriners Hospitals For Children's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Shriners Hospitals For Children enrolled in Medicare?

Yes. Shriners Hospitals For Children is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shriners Hospitals For Children?

According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 10 Medicare specialties reassign their Medicare billing to Shriners Hospitals For Children. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Anesthesiology (20), Nurse Practitioner (7) and Diagnostic Radiology (5). Of these, 28 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shriners Hospitals For Children accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Shriners Hospitals For Children as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shriners Hospitals For Children was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.