C T. GAECKLE MD – NPI #1528025103
Internal Medicine

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.

C GAECKLE is a physician located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1528025103 to C GAECKLE on April 27, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name CHARLES THOMAS GAECKLE. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 18 years ago on Mar 24, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for C GAECKLE below.

NPI Profile for
C T. GAECKLE

NPI Number
1528025103
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
C T. GAECKLE
Other Name: CHARLES THOMAS GAECKLE
Credentials
MD
Primary location
4520 W 69TH ST
SIOUX FALLS, SD 57108-8148
Phone: (605) 977-5000 Fax: (605) 977-5377
Mailing address
PO BOX 5009
SIOUX FALLS, SD 57117-5009
Phone: (605) 977-5000 Fax: (605) 977-5377
Sole Proprietor
No
Updated
Identifiers

Identifiers for C GAECKLE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERDAKOTACARESD1393
OTHERHEALTH PARTNERS36112
OTHERIA BCBSIA53989
OTHERMN BCBS - PLAN 538R2NOMN538R3GA
OTHERMN BCBS - PLAN 91057NOMN4T613GA
OTHERPREFERRED ONEMN931451029033
OTHERSD BCBSSD0000970
OTHERUCARE121283
MEDICAIDIA1122911
MEDICAIDSD6001092
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
SD 1393

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.