Provider Demographics
NPI:1922300219
Name:TINCHER, CATHY MICHELLE (PA-C)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:MICHELLE
Last Name:TINCHER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6007 US ROUTE 60 E
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-1042
Mailing Address - Country:US
Mailing Address - Phone:304-691-8690
Mailing Address - Fax:304-691-8698
Practice Address - Street 1:6007 US ROUTE 60 E
Practice Address - Street 2:SUITE 203
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-1042
Practice Address - Country:US
Practice Address - Phone:304-691-8690
Practice Address - Fax:304-691-8698
Is Sole Proprietor?:No
Enumeration Date:2010-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1539363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV01539OtherWV BOARD OF MEDICINE
WV01539OtherWV BOARD OF MEDICINE