Provider Demographics
NPI:1659358182
Name:SCHECHTER, MARC J (MD)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:J
Last Name:SCHECHTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 5126
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5126
Mailing Address - Country:US
Mailing Address - Phone:605-977-2727
Mailing Address - Fax:605-339-9244
Practice Address - Street 1:7307 S GRAND ARBOR CT
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-3151
Practice Address - Country:US
Practice Address - Phone:605-941-1866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD2819208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN448227100Medicaid
780002136OtherRR MEDICARE
IA1522672Medicaid
SD2819OtherDAKOTA CARE
SD0008659OtherBCBS
NE41202359600Medicaid
SD14346OtherSIOUX VALLEY HEALTH PLAN
SD7301224Medicaid
794631OtherAMERICAS PPO
SD3617OtherAVERA HEALTH PLAN