Provider Demographics
NPI:1801889647
Name:TSCHINKEL, STEPHEN ALAN (MD, MPH)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:ALAN
Last Name:TSCHINKEL
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MERCY CRICLE
Mailing Address - Street 2:
Mailing Address - City:CAMP PENDLETON
Mailing Address - State:CA
Mailing Address - Zip Code:92055
Mailing Address - Country:US
Mailing Address - Phone:760-719-3429
Mailing Address - Fax:
Practice Address - Street 1:200 MERCY CRICLE
Practice Address - Street 2:
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92055
Practice Address - Country:US
Practice Address - Phone:760-719-3429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236824207P00000X
TXP1940207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX304895101Medicaid
TX750818167044OtherTRICARE
TX304895102Medicaid
TXP01081621OtherRAIL ROAD
TX304895103Medicaid
TX750818167048OtherTRICARE
TX750818167022OtherTRICARE
TX8DE402OtherBCBS
TX8DE404OtherBCBS
TXP01081159OtherRAIL ROAD
TX750818167015OtherTRICARE
TX8DE406OtherBCBS
TX7519769300005OtherTRICARE
TX8DE404OtherBCBS
TX750818167044OtherTRICARE
TX7519769300005OtherTRICARE