Active NPI
Steven J Kincaid, MD
- Surgery Physician
- Kennewick, WA
National Provider Identifier
1114023587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00030523
- Practice address
- 216 W 10TH Ave
Ste 206
Kennewick, WA 99336-6300 - Phone
- (509) 585-5320
- Fax
- (509) 585-5329
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00030523 | WA | Primary |
Addresses
Primary practice location
216 W 10TH Ave
Ste 206
Kennewick, WA 99336-6300
Mailing address
7203 W Deschutes Ave
Kennewick, WA 99336-7777
Phone (509) 737-1880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020050103 | Other | WA | RR MEDICARE |
| 1114339 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00030523 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RCCH Trios Health LLC | Past | Accepting new patients | |
| Kennewick Public Hospital District | Past | Accepting new patients | |
| Lourdes Hospital LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kennewick General Hospital Home Health Care
- Home Health Agency
- Kennewick, WA
- NPI 1184797433
-
- Internal Medicine Physician
- Kennewick, WA
- NPI 1831682806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1114023587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7203 W DESCHUTES AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367777",
"telephone_number": "509-737-1880",
"fax_number": "509-737-1879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 W 10TH AVE",
"address_2": "STE 206",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993366300",
"telephone_number": "509-585-5320",
"fax_number": "509-585-5329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINCAID",
"first_name": "STEVEN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00030523",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "020050103",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114339",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.