| 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)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| 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
