EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC (NPI# 1679950950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679950950 |
| Entity Type | Organization |
| Organization Name | EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC |
| Practice Address |
2800 Tamarack Ave Suite 104 South Windsor CT 06074 |
| Mailing Address |
99 East River Dr 5th Floor East Hartford CT 06108-7301 |
| Practice Telephone | 8606480814 |
| Mailing Telephone | 8602824133 |
| Mailing Fax Number | 8602890746 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |
| 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 | 038984 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003224569 | Eastern Sports Medicine and Spine Associates LLC | Orthopaedic Surgery | 701 Cottage Grove Road, E230, Bloomfield, CT 06002 | 2014-07-29 |
| 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 |
2800 TAMARACK AVE SUITE 104 |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278714 | Michael A. Shternfeld | Otolaryngology | 2800 Tamarack Ave, Suite 102, South Windsor, CT 06074-5539 | 2005-07-12 |
| 1730780115 | Aimee Chandler | Health Educator | 2800 Tamarack Ave, South Windsor, CT 06074-5539 | 2020-11-03 |
| 1033548029 | Vipul Dua, Md, LLC | Orthopaedic Surgery | 2800 Tamarack Ave, Suite 106, South Windsor, CT 06074-5539 | 2013-11-11 |
| 1982958492 | Sharon Tokarz | Physician Assistant | 2800 Tamarack Ave, Suite 104, South Windsor, CT 06074-5539 | 2012-11-06 |
| 1306115142 | Jayme Marie Clark | Physician Assistant | 2800 Tamarack Ave, Suite 104, South Windsor, CT 06074-5539 | 2011-12-23 |
| 1386802684 | Mark Tousignant | Specialist | 2800 Tamarack Ave, Suite 100, South Windsor, CT 06074-5539 | 2008-05-23 |
| 1598822603 | Sportsmedicine Partners, Orthopedics & Rehabilitation Therapy, P.C. | Specialist | 2800 Tamarack Ave, Suite 100, South Windsor, CT 06074 | 2007-01-02 |
| 1316050925 | Evergreen Imaging Center, LLC | Clinic/Center | 2800 Tamarack Ave, Suite 002, South Windsor, CT 06074 | 2006-08-16 |
| 1699715771 | Connecticut Center for Sight LLC | Ophthalmology | 2800 Tamarack Ave, Suite 102, South Windsor, CT 06074-5539 | 2006-06-07 |
| 1003856048 | Manchester Ear, Nose & Throat Center LLC | Otolaryngology | 2800 Tamarack Ave, Suite 102, South Windsor, CT 06074-9999 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| 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 |
|---|---|---|---|---|
| 1033548029 | Vipul Dua, Md, LLC | Orthopaedic Surgery | 2800 Tamarack Ave, Suite 106, South Windsor, CT 06074-5539 | 2013-11-11 |
| 1730103862 | Vipul Dua | Orthopaedic Surgery | 2800 Tamarack Rd, Suite 106, South Windsor, CT 06074-5539 | 2006-07-26 |
| 1316991136 | Kenneth R Alleyne | Orthopaedic Surgery | 2800 Tamarack Rd, Suite 104, South Windsor, CT 06074-5539 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427533959 | Somers Orthopaedic Surgery & Sports Medicine Group Pllc | Orthopaedic Surgery | 40 Old Ridgebury Rd Ste 101, Danbury, CT 06810-5119 | 2018-10-01 |
| 1275035610 | Orthoconnecticut, PC | Orthopaedic Surgery | 338 Bantam Rd, Litchfield, CT 06759-3318 | 2018-03-01 |
| 1669995163 | Orthoconnecticut, PC | Orthopaedic Surgery | 323 Riverside Ave, Westport, CT 06880-4810 | 2017-07-18 |
| 1316469927 | Greater Hartford Orthopedic Group, PC | Orthopaedic Surgery | 893 Main St Ste 301, East Hartford, CT 06108-2293 | 2017-07-14 |
| 1871031138 | Robert Joseph Orlandi | Orthopaedic Surgery | 27 Hine Hill Rd (supreme Court Ct & N.y), New Milford, CT 00776 | 2017-02-07 |
| 1013468719 | The Orthopaedic and Sports Medicine Center | Orthopaedic Surgery | 1800 Post Rd E, Westport, CT 06880-5607 | 2016-10-18 |
| 1043666241 | Walter Thomas Shanley | Orthopaedic Surgery | 279a South Trl, Stratford, CT 06614-6131 | 2016-05-06 |
| 1851775035 | Anthony S. D. Parisi | Orthopaedic Surgery | 24 Billow Rd, Niantic, CT 06357-3404 | 2015-07-16 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1700205838 | Kristin Sandrowski | Orthopaedic Surgery | 888 White Plains Rd Ste And106, Trumbull, CT 06611-4552 | 2014-04-16 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
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.