Samuel Tyler Elsasser, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12333 Issued in FL

Practice address

2447 Mill Creek CT Ste 1
Tallahassee, FL 32308-8301

Phone

(850) 325-6468

NPI assigned

Nov 6, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seaside Spine Crestview LLC

  • Chiropractor
  • Crestview, FL
  • NPI 1881152353
  Medicare reassignment NPD
• Seaside Spine Pensacola LLC

  • Chiropractor
  • Pensacola, FL
  • NPI 1316896459
  NPD (past)
• Smith Family Chiropractic

  • Chiropractor
  • Tallahassee, FL
  • NPI 1841744182
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1265945786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 COPPERFIELD CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323123763",
            "telephone_number": "402-203-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 MILL CREEK CT STE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088301",
            "telephone_number": "850-325-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSASSER",
        "first_name": "SAMUEL",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abeer Moustafa Elmohandes, M.D.
• Aichetou Cheikh Elmoustapha, PHARMD
• Eloquent Speech and Language Therapy, LLC
• Esther Undag Elphick, M.D.
• Mohamed Elrahman-Dawoud, MD
• Ahmed Elshafaie, MD
• Allie Tallent Elwood, APRN
• John L. Elzie, M.D.
• Barbara Emanuel
• Amara Okoli Emenike, MD

• Chiropractor in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.