| Name: | Orthopedic Services and Sports Medicine, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 12 Jun 2006 (19 years ago) |
| Date of Dissolution: | 21 Feb 2020 (5 years ago) |
| Date of Status Change: | 21 Feb 2020 (5 years ago) |
| Identification Number: | 000156692 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 508 COLE AVENUE, PROVIDENCE, RI, 02906, USA |
| Purpose: | MEDICINE |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386727352 | 2006-10-23 | 2008-08-13 | 868 ADMIRAL ST, PROVIDENCE, RI, 029041917, US | 868 ADMIRAL ST, PROVIDENCE, RI, 029041917, US | |||||||||||||||||||||||
|
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| Phone | +1 401-273-8400 |
| Fax | 4012739420 |
Authorized person
| Name | PETER A PIZZARELLO JR. |
| Role | PRESIDENT |
| Phone | 4012738400 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICARE DME |
| Number | 5773660001 |
| Name | Role | Address |
|---|---|---|
| PETER A. PIZZARELLO, JR. | Agent | 508 COLE AVENUE, PROVIDENCE, RI, 02906, USA |
| Name | Role | Address |
|---|---|---|
| PETER A PIZZARELLO JR | PRESIDENT | 508 COLE AVENUE PROVIDENCE, RI 02906 USA |
| Number | Name | File Date |
|---|---|---|
| 202034910070 | Articles of Dissolution | 2020-02-21 |
| 202033368980 | Statement of Change of Registered Office by the Registered Agent | 2020-01-30 |
| 202033266060 | Annual Report | 2020-01-28 |
| 202031689410 | Revocation Notice For Failure to Maintain a Registered Office | 2020-01-10 |
| 202031283870 | Registered Office Not Maintained | 2019-12-13 |
| 201984044260 | Annual Report | 2019-01-09 |
| 201855579860 | Annual Report | 2018-01-03 |
| 201729512340 | Annual Report | 2017-01-05 |
| 201690259730 | Annual Report | 2016-01-08 |
| 201451143870 | Annual Report | 2014-12-12 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
