Michael Christopher Essmyer, D.C.
Individual provider Active NPI Chiropractor · Desloge, MO
NPI 1063539773 · NPPES record last updated Dec 28, 2020
Key facts
- NPI
- 1063539773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2003030306 (MO)
- Practice address
- 311 N State St
Desloge, MO 63601-3051 - Phone
- (573) 431-1550
- Fax
- (573) 431-6991
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
311 N State St
Desloge, MO 63601-3051
Phone (573) 431-1550
Hospital & facility affiliations
- Parkland Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050316000689 | MO | Practitioner - Chiropractic | 5698729861 |
Reassigns benefits to 1 organization Practice locations: Desloge, MO |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desloge Chiropractic Health Center, LLC | Chiropractor | Current |
Accepting new patients |
Locations
334 N State St
Ste C-1
Desloge, MO 63601
311 N State St
Desloge, MO 63601
Phone (573) 431-1550
334 N State St
Ste Cl
Desloge, MO 63601
Phone (573) 747-7882
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2003030306 | MO | Yes |
Addresses
Primary practice location
311 N State St
Desloge, MO 63601-3051
Mailing address
PO Box 565
Potosi, MO 63664-0565
Phone (573) 431-1550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194205 | Other | MO | BLUE CROSS BLUE SHIELD |
| 666018 | Other | MO | UNITED HEALTHCARE |
| 693960 | Other | MO | HEALTHLINK |
Other providers in Desloge, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.