Eastside Orthopedics & Sports Medicine, LLC
NPI 1225567928ActiveOrganization· Orthopaedic Surgery· Clackamas, OR
Orthopaedic Surgery in Clackamas, Oregon, registered in NPPES in June 2017. The authorized official on file is Paul D. Ruesch, MD, Md/ Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225567928 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 6, 2017 |
| Last updated in NPPES | Jun 30, 2026 |
| Certified by provider | Jun 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
| Orthopaedic Surgery, Foot and Ankle Surgery | 207XX0004X | MD183085 | OR |
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 (OR) |
|---|
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