EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC
NPI 1679950950
Orthopaedic Surgery in South Windsor, CT
- Organization
- Orthopaedic Surgery
About EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC
This page provides the complete NPI Profile along with additional information for Eastern Sports Medicine And Spine Associates Llc, a provider established in South Windsor, Connecticut operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1679950950 assigned on May 2015. The practitioner's primary taxonomy code is 207X00000X with license number 038984 (CT). The provider is registered as an organization and their NPI record was last updated 11 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 authorized official of this NPI record is Cheryl Flanagan (Credentialer)
- NPI
- 1679950950 Verify this NPI
- Provider Name
- EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC
- Entity Type
- Organization
- Location Address
- 2800 TAMARACK AVE SUITE 104 SOUTH WINDSOR, CT 06074
- Location Phone
- (860) 648-0814
- Mailing Address
- 99 EAST RIVER DR 5TH FLOOR EAST HARTFORD, CT 06108
- Mailing Phone
- (860) 282-4133
- Mailing Fax
- (860) 289-0746
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-06-2015
- Last Update Date
- 05-06-2015
- Code Navigator
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
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 038984
- License State
- CT
- Taxonomy Description
- 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.
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.
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Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
SOUTH WINDSOR, CT 06074
SOUTH WINDSOR, CT 06074
SOUTH WINDSOR, CT 06074
SOUTH WINDSOR, CT 06074
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679950950, enumerated as an "organization" on May 06, 2015.
The provider is located at 2800 TAMARACK AVE SUITE 104 SOUTH WINDSOR, CT 06074 and the phone number is (860) 648-0814.
Orthopaedic Surgery with taxonomy code 207X00000X.