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EAST SIDE ORTHOPAEDICS, INC
NPI 1861605354
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Providence, RI

Active since May 08, 2007
124 WATERMAN ST, 2ND FLOOR, PROVIDENCE, RI 02906(401) 831-4110(401) 831-2305 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About East Side Orthopaedics, Inc NPPES

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

EAST SIDE ORTHOPAEDICS, INC (NPI 1861605354) is a healthcare organization registered as a pediatric orthopaedic surgery in Providence, Rhode Island and active in the NPI registry since May 2007. The organization lists Thomas Francis Bliss, President, as its authorized official.

NPPES Registry Identity

NPI1861605354
Entity TypeOrganization
Primary Taxonomy207XP3100X
Legal Business NameEAST SIDE ORTHOPAEDICS, INC
Location Address124 WATERMAN ST, 2ND FLOORProvidence, RI 02906-2052
Mailing Address124 Waterman St, 2nd FloorProvidence, RI 02906-2052 · (401) 831-4110 · Fax (401) 831-2305
Phone(401) 831-4110
Fax(401) 831-2305
Organization SubpartNo
Authorized OfficialThomas Francis BlissPresident · (401) 831-4110
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1861605354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in RI · 4203
Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

124 WATERMAN ST, Providence, RI 02906
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Other Identifiers 2

MedicaidES00776RI
Medicaid7002079RI

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

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

DR. JOHN WON LEE PH.D., M.A., M.B.A.
Psychologist (Clinical)
124 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 632-0155

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 East Side Orthopaedics, Inc's NPI number?

The NPI number for East Side Orthopaedics, Inc is 1861605354. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is East Side Orthopaedics, Inc located?

East Side Orthopaedics, Inc is located at 124 Waterman St 2nd Floor, Providence, RI 02906. The listed phone number is (401) 831-4110.

What is East Side Orthopaedics, Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

When was this NPI record last updated?

The NPPES record for East Side Orthopaedics, Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.