MEDICARE: SHRINERS HOSPITALS FOR CHILDREN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1235078882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHRINERS HOSPITALS FOR CHILDREN

Provider Business Mailing Address
First Line	:	PO BOX 8500
Second Line	:	LOCKBOX 7642
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-7642
Country	:	US
Telephone Number	:	813-281-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	8350 W. BADURA AVE STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2383
Country	:	US
Telephone Number	:	813-281-0300
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LESLIE D. STEWART
Credential	:	MD
Telephone Number	:	813-281-0300

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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