Provider Demographics
NPI:1487813168
Name:TINCHER, STEVEN WAYNE (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:WAYNE
Last Name:TINCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 850489
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36685-0489
Mailing Address - Country:US
Mailing Address - Phone:251-342-3949
Mailing Address - Fax:251-631-3361
Practice Address - Street 1:731 S PEAR ORCHARD ROAD
Practice Address - Street 2:SUITE 16
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157
Practice Address - Country:US
Practice Address - Phone:601-326-5330
Practice Address - Fax:601-326-5356
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL29774207R00000X
MS20976208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS9139825OtherAETNA
MS08979820Medicaid
MS2862865OtherCIGNA
MS6052556OtherHEALTHSPRING
MS08979820Medicaid