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CAROL SHACKLETON, M.D., P.C.
NPI 1194803619
Family Medicine in Gothenburg, NE

Active since November 01, 2006
918 20TH STREET, GOTHENBURG, NE 69138(308) 537-7131(308) 537-7310 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol Shackleton, M.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROL SHACKLETON, M.D., P.C. (NPI 1194803619) is a healthcare organization registered as a family medicine in Gothenburg, Nebraska and active in the NPI registry since November 2006. The organization lists Carol Shackleton, Owner, as its authorized official.

NPPES Registry Identity

NPI1194803619
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCAROL SHACKLETON, M.D., P.C.
Location Address918 20TH STREETGothenburg, NE 69138-1237
Mailing Address918 20th StreetGothenburg, NE 69138-1237 · (308) 537-7131
Phone(308) 537-7131
Fax(308) 537-7310
Organization SubpartNo
Authorized OfficialCarol ShackletonOwner · (308) 537-7131
Enumeration DateNovember 1, 2006
Last NPPES UpdateFebruary 9, 2012
✔ NPI 1194803619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 16620
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
918 20TH STREET, Gothenburg, NE 69138
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Other Identifiers 8

Other11595205NE · Caqh
Other280121Medicare Ptan
Other03042NE · Bc/bs
Other6366NE · Midlands Choice
Medicaid100253852-00NE
Other099905NE · Medicare Group
Medicare UPINB90857NE
Medicare NSC6092100001NE

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID HULT, M.D., P.C.
Family Medicine
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131
DR. GERALD E MATZKE JR. M.D.
Family Medicine (Sports Medicine)
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131
DR. CAROL L SHACKLETON M.D.
Family Medicine
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131
GOTHENBURG FAMILY PRACTICE RURAL HEALTH CLINIC LLC
Clinic/Center
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131
MR. AARON I SALOMON PAC
Physician Assistant
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131
FAMILY AND SPORT MEDICINE, PC
Family Medicine (Sports Medicine)
918 20TH STREET
GOTHENBURG, NE 69138
Dawson County (308) 537-7131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Shackleton, M.D., P.C.'s NPI number?

The NPI number for Carol Shackleton, M.D., P.C. is 1194803619. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Carol Shackleton, M.D., P.C. located?

Carol Shackleton, M.D., P.C. is located at 918 20th Street, Gothenburg, NE 69138. The listed phone number is (308) 537-7131.

What is Carol Shackleton, M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Carol Shackleton, M.D., P.C. was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.