| Name: | East Side Orthopaedics, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 30 Jun 1975 (50 years ago) |
| Date of Dissolution: | 25 Nov 2013 (11 years ago) |
| Date of Status Change: | 25 Nov 2013 (11 years ago) |
| Identification Number: | 000011284 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 124 WATERMAN STREET, PROVIDENCE, RI, 02906, USA |
| Purpose: | TO RENDER THE SERVICES OF PHYSICIANS & SURGEONS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861605354 | 2007-05-08 | 2020-08-22 | 124 WATERMAN ST, 2ND FLOOR, PROVIDENCE, RI, 029062052, US | 124 WATERMAN ST, 2ND FLOOR, PROVIDENCE, RI, 029062052, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 401-831-4110 |
| Fax | 4018312305 |
Authorized person
| Name | DR. THOMAS FRANCIS BLISS |
| Role | PRESIDENT |
| Phone | 4018314110 |
Taxonomy
| Taxonomy Code | 207XP3100X - Pediatric Orthopaedic Surgery Physician |
| License Number | 4203 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | ES00776 |
| State | RI |
| Issuer | MEDICAID |
| Number | 7002079 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| HASLAW, INC. | Agent | HINCKLEY ALLEN & SNYDER LLP 50 KENNEDY PLAZA SUITE 1500, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| THOMAS F. BLISS, M.D. | TREASURER | 124 WATERMAN STREET PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| THOMAS F. BLISS, M.D. | SECRETARY | 124 WATERMAN STREET PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| THOMAS F BLISS MD | PRESIDENT | 124 WATERMAN STREET PROVIDENCE, RI 02906 USA |
| Number | Name | File Date |
|---|---|---|
| 201330917460 | Articles of Dissolution | 2013-11-25 |
| 201314521650 | Annual Report | 2013-03-28 |
| 201291491070 | Annual Report | 2012-03-28 |
| 201176818310 | Statement of Change of Registered/Resident Agent | 2011-03-22 |
| 201176817610 | Annual Report | 2011-03-22 |
| 201066367560 | Annual Report | 2010-07-29 |
| 201063033080 | Revocation Notice For Failure to File An Annual Report | 2010-06-16 |
| 200944735550 | Annual Report | 2009-03-31 |
| 200807906310 | Annual Report | 2008-02-06 |
Date of last update: 05 Oct 2024
Sources: Rhode Island Department of State
