| Provider / Organization | NPI | Date Certified |
|---|---|---|
| OLEXANDR SERGEYEVICH KRINOCHKIN | 1912971318 | 2024-11-08 |
Olexandr Sergeyevich Krinochkin MD [M] graduated in 1994 and primarily specializes in Internal Medicine.
Olexandr Sergeyevich Krinochkin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912971318. Registration indicates Olexandr Sergeyevich Krinochkin is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine: Critical Care Medicine, ) (Specialist Network, ) (Internal Medicine Critical Care Medicine, Allopathic & Osteopathic Physicians) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine: Critical Care Medicine, ) (Specialist Network, ) (Internal Medicine Critical Care Medicine, Allopathic & Osteopathic Physicians) (Internal Medicine, ) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
| PECOS ID | 8527074129 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Olexandr Sergeyevich Krinochkin MD |
| Practice Office Address | 1235 E CHEROKEE ST SPRINGFIELD, MO US |
| Practice Office Telephone | 4178206569 |
| Practice Office Fax | 4178206720 |
| Mailing Address | PO BOX 2580 SPRINGFIELD, MO 658012580 US |
| Business Telephone | 4178294620 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 350 Heritage Way Ste 2100 | Kalispell, MT 599013167 | 4062578992 / 4062578996 |
| Direct Messaging Address [] | [email protected] | Kalispell Regional Medical Center Inc |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | MED-PHYS-LIC-10
MT |
| 207RC0200X | Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine: Critical Care Medicine Specialist Network Internal Medicine Critical Care Medicine Allopathic & Osteopathic Physicians Internal Medicine | 2005019902
MO |
| 207RC0200X | Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine: Critical Care Medicine Specialist Network Internal Medicine Critical Care Medicine Allopathic & Osteopathic Physicians Internal Medicine | 036147482
IL |
| 207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 2005019902
MO |
| 188251001 | MEDICAID | AR | |
| 431560263 | OTHER | MN | TRICARE |
| P00954935 | OTHER | MO | RR MCR |
| 1912971318 | MEDICAID | MO |