NICHOLAS KOUCHOUKOS MD - NPI 1972614576 - Thoracic Surgery (Cardiothoracic Vascular Surgery) in Saint Louis, MO

Q: What is Nicholas Kouchoukos's NPI number?

The NPI number for Nicholas Kouchoukos is 1972614576. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Nicholas Kouchoukos's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

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About Nicholas Kouchoukos Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS KOUCHOUKOS MD (NPI 1972614576) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Saint Louis, Missouri, licensed in Missouri (28052) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1972614576

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameNICHOLAS KOUCHOUKOSCredential: MD

Location Address3023 N BALLAS RD STE 150DSaint Louis, MO 63131-2319

Mailing Address3023 N Ballas Rd Ste 150dSaint Louis, MO 63131-2319 · (314) 996-5287 · Fax (314) 432-6068

Phone(314) 996-5287

Fax(314) 432-6068

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateMarch 11, 2019

✔ NPI 1972614576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in MO · 28052

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

3023 N BALLAS RD STE 150D, Saint Louis, MO 63131

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Other Identifiers 1

Medicaid202103727MO

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL MAUNEY

Thoracic Surgery (Cardiothoracic Vascular Surgery)