Active NPI
Scott A Kirchner, MD
- Internal Medicine Physician
- Saint Louis, MO
National Provider Identifier
1811981715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R3C11
- Practice address
- 6555 Chippewa St
Suite 201
Saint Louis, MO 63109-4110 - Phone
- (314) 645-8719
- Fax
- (314) 645-8642
- NPI assigned
- Sep 7, 2005
- Last updated
- Jan 31, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R3C11 | MO | Primary |
Addresses
Primary practice location
6555 Chippewa St
Suite 201
Saint Louis, MO 63109-4110
Mailing address
6555 Chippewa St
Suite 201
Saint Louis, MO 63109-4110
Phone (314) 645-8719
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BLC9364 | Other | BLUE CHOICE | |
| 10468 | Other | ESSENCE | |
| 431269659 | Other | MISCELLANEOUS | |
| 5453 | Other | ONE HEALTH | |
| 181250 | Other | HEALTHLINK | |
| 26D0438468 | Other | CLIA WAIVER | |
| 110005208 | Other | RAILROAD MEDICARE | |
| 3258644 | Other | PHCS HEALTH MARKET | |
| 9364 | Other | BLUE CROSS | |
| A11500 | Other | MERCY HEALTH PLAN | |
| 0400231 | Other | UNITED HEALTHCARE | |
| 33594 | Other | GHP |
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 |
|---|---|---|---|
| R3C11 | MO | MD | Internal Medicine Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Saint Louis, MO
- NPI 1174965834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1811981715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6555 CHIPPEWA ST",
"address_2": "SUITE 201",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631094110",
"telephone_number": "314-645-8719",
"fax_number": "314-645-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6555 CHIPPEWA ST",
"address_2": "SUITE 201",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631094110",
"telephone_number": "314-645-8719",
"fax_number": "314-645-8642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRCHNER",
"first_name": "SCOTT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "R3C11",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "BLC9364",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ESSENCE",
"identifier": "10468",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISCELLANEOUS",
"identifier": "431269659",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH",
"identifier": "5453",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "181250",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA WAIVER",
"identifier": "26D0438468",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110005208",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS HEALTH MARKET",
"identifier": "3258644",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "9364",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY HEALTH PLAN",
"identifier": "A11500",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0400231",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "33594",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.