DR. MARK D FAUSCH MD NPI 1154388676

NPI Information

NPI: 1154388676
Provider Name: DR. MARK D FAUSCH, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
4520 W 69TH ST
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 977-5000
Get Directions

DR. Mark D Fausch, MD is a cardiovascular disease internal medicine in Sioux Falls, SD. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Mark D Fausch, MD NPI is 1154388676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4520 W 69TH ST
SIOUX FALLS, SD
ZIP 57108-148
Phone: (605) 977-5000
Fax: (605) 977-5377

The NPI 1154388676 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 6/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology	4275	SOUTH DAKOTA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	4275	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	24749	OTHER	IOWA	IA BCBS
2	4998788	OTHER	SOUTH DAKOTA	SD BCBS
3	25-00470	OTHER		MEDICA SELECTCARE
4	I0601	MEDICARE PIN	IOWA
5	0501205	MEDICAID	IOWA
6	24696	OTHER		HEALTH PARTNERS
7	422522800	MEDICAID	MINNESOTA
8	132666	OTHER		UCARE
9	931451029032	OTHER	MINNESOTA	PREFERRED ONE
10	MN BLUE SHIELD	OTHER	MINNESOTA	497L2FA
11	990003236	MEDICARE PIN	GEORGIA
12	89A46FA	OTHER	MINNESOTA	MN BCBS - PLAN 91057NO
13	4275	OTHER	SOUTH DAKOTA	DAKOTACARE
14	C81475	MEDICARE UPIN	SOUTH DAKOTA
15	6003430	MEDICAID	SOUTH DAKOTA
16	S5341	MEDICARE PIN	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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