Individual
OLEXANDR SERGEYEVICH KRINOCHKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-6569
(417) 820-6720
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005019902
MO
207R00000X
Internal Medicine Physician
MED-PHYS-LIC-102786
MT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036147482
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2005019902
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188251001
—
AR
05
—
1912971318
—
MO
01
—
431560263
TRICARE
MN
01
—
P00954935
RR MCR
MO
Enumeration date
02/14/2006
Last updated
04/25/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us