Active NPI
Gary Steven Marckstadt, MD
- Family Medicine Physician
- Sioux Falls, SD
National Provider Identifier
1053364091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3887
- Practice address
- 900 E 54TH St N Ste 200
Sioux Falls, SD 57104-0686 - Phone
- (605) 332-2883
- Fax
- (605) 328-5831
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3887 | SD | Primary |
Addresses
Primary practice location
900 E 54TH St N Ste 200
Sioux Falls, SD 57104-0686
Mailing address
6110 S Minnesota Ave
Sioux Falls, SD 57108-2549
Phone (605) 332-2883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3887 | SD | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1053364091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6110 S MINNESOTA AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082549",
"telephone_number": "605-332-2883",
"fax_number": "605-328-5831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E 54TH ST N STE 200",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571040686",
"telephone_number": "605-332-2883",
"fax_number": "605-328-5831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCKSTADT",
"first_name": "GARY",
"middle_name": "STEVEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "3887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.