Eastern Sports Medicine and Spine Associates LLC
NPI 1003224569ActiveOrganization· Orthopaedic Surgery· Bloomfield, CT
Orthopaedic Surgery in Bloomfield, Connecticut, registered in NPPES in July 2014. The authorized official on file is Cheryl Flanagan, Credentialer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003224569 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2014 |
| Last updated in NPPES | May 4, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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