EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC (NPI# 1003224569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003224569 |
| Entity Type | Organization |
| Organization Name | EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC |
| Practice Address |
701 Cottage Grove Road E230 Bloomfield CT 06002 |
| Mailing Address |
99 E River Dr 5th Floor East Hartford CT 06108-3288 |
| Practice Telephone | 8606480814 |
| Mailing Telephone | 8602824133 |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | CHERYL FLANAGAN (CREDENTIALER) |
| Authorized Official Telephone | 8602824133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679950950 | Eastern Sports Medicine and Spine Associates LLC | Orthopaedic Surgery | 2800 Tamarack Ave, Suite 104, South Windsor, CT 06074 | 2015-05-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC | 837 Prospect Avenue, West Hartford, CT 06105 |
| Street Address |
701 COTTAGE GROVE ROAD E230 |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841254653 | Jennifer W Pennoyer Md LLC | Dermatology | 701 Cottage Grove Road, E110, Bloomfield, CT 06002 | 2006-04-17 |
| 1205058724 | David B Shamash D.d.s. P.C. | Dentist | 701 Cottage Grove Road, Bloomfield, CT 06002 | 2007-05-03 |
| 1083780605 | Roy A Kellerman | Internal Medicine | 701 Cottage Grove Road, Suite A-110, Bloomfield, CT 06002 | 2006-11-27 |
| 1568567394 | Helen Denise Newton | Ophthalmology | 701 Cottage Grove Road, Suite A110, Bloomfield, CT 06002 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861785776 | Ferras Zeni Md PC | Orthopaedic Surgery | 5171 Provincial Dr, Bloomfield, MI 48302-2531 | 2011-05-25 |
| 1558337436 | Michael P Kruger | Orthopaedic Surgery | 673 Cottage Grove Rd, Bloomfield, CT 06002-3033 | 2006-02-28 |
| 1235616061 | Orthopedic Specialist Group | Orthopaedic Surgery | 20 Watsessing Ave, Bloomfield, NJ 07003-4613 | 2018-07-24 |
| 1649778044 | Bloomfield College | Orthopaedic Surgery | 467 Franklin St, Bloomfield, NJ 07003-3425 | 2018-01-31 |
| 1063834810 | North Jersey Orthopedic Group L.l.c | Orthopaedic Surgery | 14-20 Watsessing Ave, Bloomfield, NJ 07003-4611 | 2014-01-14 |
| 1215264874 | Stadium Orthopaedics | Orthopaedic Surgery | 323 Belleville Ave, Bloomfield, NJ 07003-3648 | 2009-11-03 |
| 1457403537 | Ct Orthopedics & Sports Medicine PC | Orthopaedic Surgery | 47 Jolley Drive, Bloomfield, CT 06002 | 2007-01-17 |
| 1255377586 | Steven E. Selden | Orthopaedic Surgery | 510 Cottage Grove Rd, Bloomfield, CT 06002-3123 | 2006-06-22 |
| 1356320931 | Scott Allen Bissell | Orthopaedic Surgery | 35 Jolley Dr, Bloomfield, CT 06002-3062 | 2006-01-12 |
| 1578554499 | Robert Allen Green | Orthopaedic Surgery | 421 Cottage Grove Rd, Suite A, Bloomfield, CT 06002-3170 | 2005-10-31 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
Please comment or provide details below to improve the information on EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.