Active NPI
Lucille I Kirchner, MD
- Internal Medicine Physician
- The Dalles, OR
National Provider Identifier
1942377296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD154409
- Practice address
- 1825 E 19TH St
The Dalles, OR 97058 - Phone
- (541) 506-6940
- Fax
- (541) 296-2636
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD022974E | PA | |
| Internal Medicine Physician | 207R00000X | MD154409 | OR | Primary |
Addresses
Primary practice location
1825 E 19TH St
The Dalles, OR 97058
Mailing address
PO Box 1520
The Dalles, OR 97058
Phone (541) 296-7668
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153454 | Other | HIGH MARK | |
| 153454 | Other | PA | BLUE SHIELD |
| 218105 | Medicaid | OR | |
| 110218192 | Other | RR MEDICARE | |
| 205080 | Other | UPMC | |
| 0008128290009 | Medicaid | PA |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadville Physician Services | Internal Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Meadville, PA
- NPI 1619236056
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1942377296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1520",
"city": "THE DALLES",
"state": "OR",
"postal_code": "97058",
"telephone_number": "541-296-7668",
"fax_number": "541-296-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 E 19TH ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "97058",
"telephone_number": "541-506-6940",
"fax_number": "541-296-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRCHNER",
"first_name": "LUCILLE",
"middle_name": "I",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD022974E",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD154409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGH MARK",
"identifier": "153454",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "153454",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218105",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110218192",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "205080",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008128290009",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.