SHRINERS HOSPITALS FOR CHILDREN ORTHOPEDIC PRO SERVICES - JOHNSON CITY
NPI 1356880199
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Johnson City, TN

Active since February 13, 2017
410 N STATE OF FRANKLIN RD, SUITE 130, JOHNSON CITY, TN 37604(864) 271-3444(864) 271-4471 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 27, 2017, Feb 14, 2017 (2 updates tracked since 2017).

  • Organization
  • Orthopaedic Surgery
  • Pediatric Orthopaedic Surgery

About SHRINERS HOSPITALS FOR CHILDREN ORTHOPEDIC PRO SERVICES - JOHNSON CITY

This page provides the complete NPI Profile along with additional information for Shriners Hospitals For Children Orthopedic Pro Services - Johnson City, a provider established in Johnson City, Tennessee operating as a Orthopaedic Surgery, focusing in pediatric orthopaedic surgery . The healthcare provider is registered in the NPI registry with number 1356880199 assigned on February 2017. The practitioner's primary taxonomy code is 207XP3100X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Shriners Hospitals For Children Orthopedic Pro Services - Johnson City. The authorized official of this NPI record is Randall R. Romberger (Administrator)

NPI
1356880199 Verify this NPI
Provider Legal Name
SHRINERS HOSPITALS FOR CHILDREN
Other Organization Name
SHRINERS HOSPITALS FOR CHILDREN ORTHOPEDIC PRO SERVICES - JOHNSON CITY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
410 N STATE OF FRANKLIN RD SUITE 130 JOHNSON CITY, TN 37604
Location Phone
(864) 271-3444
Location Fax
(864) 271-4471
Mailing Address
PO BOX 8500 LOCKBOX #7642 PHILADELPHIA, PA 19178
Mailing Phone
(864) 271-3444
Mailing Fax
(864) 271-4471
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2017
Last Update Date
02-27-2017
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Pediatric Orthopaedic Surgery

Taxonomy Code
207XP3100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RANDALL R. ROMBERGER

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(864) 271-3444

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Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Surgery
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Physician Assistant
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Physician Assistant (Surgical)
410 N STATE OF FRANKLIN RD, SUITE 120
JOHNSON CITY, TN 37604
Physician Assistant
410 N STATE OF FRANKLIN RD, SUITE 120
JOHNSON CITY, TN 37604
Physician Assistant
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Surgery
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Psychiatry & Neurology (Neurology)
410 N STATE OF FRANKLIN RD, SUITE 135
JOHNSON CITY, TN 37604
Nurse Practitioner (Adult Health)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Physician Assistant (Medical)
410 N STATE OF FRANKLIN RD, SUITE 120
JOHNSON CITY, TN 37604
Surgery (Trauma Surgery)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Neurological Surgery
410 N STATE OF FRANKLIN RD, SUITE 120
JOHNSON CITY, TN 37604
Psychiatry & Neurology (Neurology)
410 N STATE OF FRANKLIN RD, SUITE 135
JOHNSON CITY, TN 37604
Plastic Surgery
410 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Surgery (Surgical Critical Care)
410 N STATE OF FRANKLIN RD, SUITE 130
JOHNSON CITY, TN 37604
Neurological Surgery
410 N STATE OF FRANKLIN RD, SUITE 120
JOHNSON CITY, TN 37604
Internal Medicine
410 N STATE OF FRANKLIN RD, SUITE 135B
JOHNSON CITY, TN 37604
Psychiatry & Neurology (Neurology)
410 N STATE OF FRANKLIN RD, SUITE 135
JOHNSON CITY, TN 37604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356880199, enumerated as an "organization" on February 13, 2017.

The provider is located at 410 N STATE OF FRANKLIN RD SUITE 130 JOHNSON CITY, TN 37604 and the phone number is (864) 271-3444.

Orthopaedic Surgery with taxonomy code 207XP3100X and a focus in Pediatric Orthopaedic Surgery.