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DR. CAROL L SHACKLETON M.D.
NPI 1629004759
Family Medicine in Gothenburg, NE

Active since June 23, 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 02, 2026.

About Dr. Carol L Shackleton M.d. NPPES

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

DR. CAROL L SHACKLETON M.D. (NPI 1629004759) is an individual family medicine provider in Gothenburg, Nebraska, licensed in Nebraska (16620) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1629004759
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CAROL L SHACKLETONCredential: M.D.
Location Address918 20TH STREETGothenburg, NE 69138-1237
Mailing Address918 20th StreetGothenburg, NE 69138-1237 · (308) 537-7131 · Fax (308) 537-7310
Phone(308) 537-7131
Fax(308) 537-7310
Sole ProprietorYes
Enumeration DateJune 23, 2006
Last NPPES UpdateFebruary 9, 2012
✔ NPI 1629004759 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

Medicare UPINB90857NE
Medicaid100253852-00NE
Medicare NSC6092100001NE
Medicare PIN280121NE
Other11595205NE · Caqh
Other099905NE · Medicare Group
Other6366NE · Midlands Choice
Other03042NE · State Bc/bs

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
CAROL SHACKLETON, M.D., P.C.
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's NPI number?

The NPI number for Carol Shackleton is 1629004759. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Carol Shackleton located?

Carol Shackleton practices at 918 20th Street, Gothenburg, NE 69138. The listed phone number is (308) 537-7131.

What is Carol Shackleton'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 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.