EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC
NPI 1679950950
Orthopaedic Surgery in South Windsor, CT

Active since May 06, 2015
2800 TAMARACK AVE, SUITE 104, SOUTH WINDSOR, CT 06074(860) 648-0814 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastern Sports Medicine And Spine Associates Llc NPPES

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

EASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC (NPI 1679950950) is a healthcare organization registered as an orthopaedic surgery in South Windsor, Connecticut and active in the NPI registry since May 2015. The organization lists Cheryl Flanagan, Credentialer, as its authorized official.

NPPES Registry Identity

NPI1679950950
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameEASTERN SPORTS MEDICINE AND SPINE ASSOCIATES LLC
Location Address2800 TAMARACK AVE, SUITE 104South Windsor, CT 06074
Mailing Address99 East River Dr, 5th FloorEast Hartford, CT 06108-7301 · (860) 282-4133 · Fax (860) 289-0746
Organization SubpartNo
Authorized OfficialCheryl FlanaganCredentialer · (860) 282-4133
Enumeration DateMay 6, 2015
NPI 1679950950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CT · 038984
Definition
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.
2800 TAMARACK AVE, South Windsor, CT 06074

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

Otolaryngology
2800 TAMARACK AVE, SUITE 102
SOUTH WINDSOR, CT 06074
Orthopaedic Surgery
2800 TAMARACK AVE, SUITE 106
SOUTH WINDSOR, CT 06074
Physician Assistant (Medical)
2800 TAMARACK AVE, SUITE 104
SOUTH WINDSOR, CT 06074
Clinic/Center (Radiology)
2800 TAMARACK AVE, SUITE 002
SOUTH WINDSOR, CT 06074
Surgery
2800 TAMARACK AVE, SUITE 100
SOUTH WINDSOR, CT 06074
Ophthalmology
2800 TAMARACK AVE, SUITE 102
SOUTH WINDSOR, CT 06074
Specialist
2800 TAMARACK AVE, SUITE 100
SOUTH WINDSOR, CT 06074
Otolaryngology
2800 TAMARACK AVE, SUITE 102
SOUTH WINDSOR, CT 06074

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 Eastern Sports Medicine And Spine Associates LLC's NPI number?

The NPI number for Eastern Sports Medicine And Spine Associates LLC is 1679950950. It was assigned to this organization in the NPPES registry on May 6, 2015.

Where is Eastern Sports Medicine And Spine Associates LLC located?

Eastern Sports Medicine And Spine Associates LLC is located at 2800 Tamarack Ave Suite 104, South Windsor, CT 06074. The listed phone number is (860) 648-0814.

What is Eastern Sports Medicine And Spine Associates LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Eastern Sports Medicine And Spine Associates LLC was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.