EAST SIDE ORTHOPAEDICS INC NPI 1861605354

NPI Information

  • NPI: 1861605354
  • Provider Name: EAST SIDE ORTHOPAEDICS, INC
  • Classification: Orthopaedic Surgery - 207XP3100X
  • Specialization: Pediatric Orthopaedic Surgery
  • Entity Type: Organization
  • Address: 124 WATERMAN ST
    2ND FLOOR
    PROVIDENCE, RI
    ZIP 02906
  • Phone: (401) 831-4110

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NPI Details

EAST SIDE ORTHOPAEDICS, INC is a pediatric orthopaedic surgery orthopaedic surgery in Providence, RI. The provider is 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. EAST SIDE ORTHOPAEDICS, INC NPI is 1861605354. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

124 WATERMAN ST
2ND FLOOR
PROVIDENCE, RI
ZIP 02906-052
Phone: (401) 831-4110
Fax: (401) 831-2305

The provider's authorized official is Thomas Francis Bliss .
The authorized official title is President and has the following contact phone number (401) 831-4110.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XP3100XOrthopaedic SurgeryPediatric Orthopaedic Surgery4203RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ES00776MEDICAIDRHODE ISLAND
27002079MEDICAIDRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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