DR. C THOMAS GAECKLE MD NPI 1528025103

NPI Information

NPI: 1528025103
Provider Name: DR. C THOMAS GAECKLE, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

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

DR. C Thomas Gaeckle, 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. C Thomas Gaeckle, MD NPI is 1528025103. 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 enumeration date for this NPI number is 4/27/2006 and was last updated on 3/24/2008.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	1393	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	4T613GA	OTHER	MINNESOTA	MN BCBS - PLAN 91057NO
2	1122911	MEDICAID	IOWA
3	121283	OTHER		UCARE
4	0000970	OTHER	SOUTH DAKOTA	SD BCBS
5	36112	OTHER		HEALTH PARTNERS
6	D28466	MEDICARE UPIN	SOUTH DAKOTA
7	53989	MEDICARE PIN	IOWA
8	931451029033	OTHER	MINNESOTA	PREFERRED ONE
9	538R3GA	OTHER	MINNESOTA	MN BCBS - PLAN 538R2NO
10	6001092	MEDICAID	SOUTH DAKOTA
11	53989	OTHER	IOWA	IA BCBS
12	1393	OTHER	SOUTH DAKOTA	DAKOTACARE
13	S970	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: 11/14/2023

NPI Synchronization or Removal

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