GEORGE M KICHURA M.D.
NPI 1114903507
Internal Medicine, Cardiovascular Disease in Saint Louis,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 19, 2005

Contact Information

11155 Dunn Rd
Saint Louis,
Post Code: 63136
Phone: (314) 741-0911
Fax: (314) 653-3671

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George M Kichura M.d. in Saint Louis - Internal Medicine, Cardiovascular Disease

George M Kichura M.d. is a Internal Medicine, Cardiovascular Disease in Saint Louis, . George M Kichura M.d. practices all healthcare services and medical treatments related to Internal Medicine, Cardiovascular Disease. The NPI Number for George M Kichura M.d. is 1114903507. The last update date is 2021-12-06.

George M Kichura M.d.'s current location address is 11155 Dunn Rd, Saint Louis, . You can contact this provider via phone number (314) 741-0911 and fax number (314) 653-3671. The mailing address for George M Kichura M.d. is 11155 Dunn Rd, Saint Louis, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114903507
Provider Name
GEORGE M KICHURA M.D.
Gender
Male
Entity Type
Individual
Location Address
11155 Dunn Rd, Saint Louis,
Location Phone
(314) 741-0911
Location Fax
(314) 653-3671
Mailing Address
11155 Dunn Rd, Saint Louis, Missouri(MO)
Mailing Phone
314-741-0911
Mailing Fax
314-653-3671
Enumeration Date
2005-12-19
Last Update Date
2021-12-06
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine, Interventional Cardiology

Taxonomy Code
207RI0011X
Type
-
License No.
r7h84
License State
Missouri (MO)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207RC0000X Cardiovascular Disease Physician

Internal Medicine, Cardiovascular Disease

R7H84 (Missouri)
2 207RC0000X Cardiovascular Disease Physician

Internal Medicine, Cardiovascular Disease

036-089747 (Illinois)
3 207RI0011X Interventional Cardiology Physician

Internal Medicine, Interventional Cardiology

036089474 (Illinois)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
207725672 MEDICAID (05) Missouri (MO)
65466808 MEDICAID (05) Illinois (IL)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114903507
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124180650
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2124180650
2 + 1 + 2 + 4 + 1 + 8 + 0 + 6 + 5 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 7 7

The NPI number 1114903507 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114902327 PHILIP J. WILSON
Individual
Ophthalmology PO BOX 104240
JEFFERSON CITY, Missouri (MO)
573-556-7709
1114901865 JIM JEFFRIES
Individual
Anesthesiology 13523 BARRETT PARKWAY DR
BALLWIN, Missouri (MO)
314-775-2816
1114901527 WAYNE MEDICAL CENTER, L.L.C.
Organization
Clinic/Center, Rural Health RR 4 BOX 4515
PIEDMONT, Missouri (MO)
573-223-4233
1114900867 DAVID KROJANKER
Individual
Psychiatry & Neurology, Psychiatry 1066 EXECUTIVE PARKWAY DR
SAINT LOUIS, Missouri (MO)
314-205-1707
1114900172 CONSTANCE L ROGERS
Individual
Registered Nurse 904 WOLLARD BLVD
RICHMOND, Missouri (MO)
816-470-5432