Organization Active NPI

Sisu Health LLC

  • Chiropractor
  • Salisbury, MD
National Provider Identifier
1811637986
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SISU HEALTH LLC
Practice address
32071 Beaver Run Dr Ste B
Salisbury, MD 21804-1704
Phone
(410) 341-6520
Fax
(410) 341-6520
NPI assigned
Mar 29, 2022
Last updated
Mar 29, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SISU HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Dr. William J Nelson, DCNPI 1073986014
Title
Chiropractor
Phone
(401) 269-8524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

32071 Beaver Run Dr Ste B
Salisbury, MD 21804-1704

Mailing address

11230 Saint Martins Pkwy
Berlin, MD 21811-3256
Phone (401) 269-8524

Other names 1

  • Sisu Health LLc Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230420000036 MD Part B Supplier - Clinic/Group Practice 1850756156 Receives reassigned benefits from 1 practitioner
Practice locations: Salisbury, MD

National Provider Directory

National Provider Directory
Part of
Sisu Health LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1811637986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 SAINT MARTINS PKWY",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113256",
            "telephone_number": "401-269-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32071 BEAVER RUN DR STE B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041704",
            "telephone_number": "410-341-6520",
            "fax_number": "410-341-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISU HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SISU HEALTH LLC",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "401-269-8524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sisu Health LLc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.