Provider Demographics
NPI:1346257730
Name:MAGEE, CHRIS A (MD)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:A
Last Name:MAGEE
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 1:679 E COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1049
Mailing Address - Country:US
Mailing Address - Phone:317-890-2000
Mailing Address - Fax:317-859-4269
Practice Address - Street 1:14300 E 138TH STE A
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-0087
Practice Address - Country:US
Practice Address - Phone:317-890-2000
Practice Address - Fax:317-813-1667
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01055602A208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200362010Medicaid
IN000000213185OtherANTHEM PROVIDER NUMBER
IN318870QMedicare PIN
1487680518OtherGROUP NPI NUMBER
IN677730UUMedicare PIN
IN340020009OtherMEDICARE RAILROAD
IN000000213185OtherANTHEM PROVIDER NUMBER
IN100194370OtherMEDICAID GROUP NUMBER
IN160060CMedicare PIN
IN200362010Medicaid
IN069360GMedicare PIN
IN069350HMedicare PIN