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SHRINERS HOSPITALS FOR CHILDREN (PROFESSIONAL SERVICES)
NPI 1568803732
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Shreveport, LA

Active since July 16, 2013CLIA 19D0705402 · Waiver
3100 SAMFORD AVE, SHREVEPORT, LA 71103(318) 222-5704(318) 424-7610 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shriners Hospitals For Children (professional Services) NPPES

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

SHRINERS HOSPITALS FOR CHILDREN (PROFESSIONAL SERVICES) (NPI 1568803732) is a healthcare organization registered as a pediatric orthopaedic surgery in Shreveport, Louisiana and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through October 4, 2026 and lists Jerry G. Gantt, President, as its authorized official.

NPPES Registry Identity

NPI1568803732
Entity TypeOrganization
Primary Taxonomy207XP3100X
Legal Business NameSHRINERS HOSPITALS FOR CHILDREN
Location Address3100 SAMFORD AVEShreveport, LA 71103-4239
Mailing AddressPo Box 8500, Lockbox #7642Philadelphia, PA 19178-7642 · (318) 222-5704 · Fax (318) 424-7610
Phone(318) 222-5704
Fax(318) 424-7610
Organization SubpartNo
Authorized OfficialJerry G. GanttPresident · (813) 281-0300
Enumeration DateJuly 16, 2013
Last NPPES UpdateSeptember 20, 2019
✔ NPI 1568803732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
Definition
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.
3100 SAMFORD AVE, Shreveport, LA 71103
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Other Names 1

Other NameShriners Hospitals For Children (professional Services)

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D0705402

Shriners Hospital For Children · Shreveport, LA
Active · expires Oct 4, 2026
CLIA Number19D0705402
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2024
Certificate Expiration DateOctober 4, 2026
Laboratory DirectorCary H. Mielke
Laboratory Phone(318) 222-5704
Laboratory LocationShriners Hospital For Children3100 Samford Avenue, Shreveport, LA 71103
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNN GIBBS JENKINS LOTR
Occupational Therapist (Pediatrics)
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 222-5704
MRS. AMANDA CARFAGNO NP
Nurse Practitioner (Pediatrics)
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 226-3306
SUSAN H. THORNHILL
Occupational Therapist
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 226-3329
DAMIAN JUDE DUHON PT, DPT
Physical Therapist
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 226-4219
MRS. SUSAN SAYLORS BRYANT P.T.
Physical Therapist
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 222-5704
DR. GERARD KARL WILLIAMS JR. M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 222-5704
KENNETH PATRICK POWELL MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 226-3306
MS. SHANNON MARIE MORAN PT
Physical Therapist (Pediatrics)
3100 SAMFORD AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 222-5704

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 1568803732. It was assigned to this organization in the NPPES registry on July 16, 2013. The provider is also known as Shriners Hospitals For Children (professional Services).

Where is Shriners Hospitals For Children located?

Shriners Hospitals For Children is located at 3100 Samford Ave, Shreveport, LA 71103. The listed phone number is (318) 222-5704.

What is Shriners Hospitals For Children's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Does Shriners Hospitals For Children hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0705402) is associated with this NPI, valid through October 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shriners Hospitals For Children accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana 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 September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.