Provider Demographics
NPI:1538123161
Name:NAGY, STEPHEN S (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:S
Last Name:NAGY
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 1:1364 WESTGATE CENTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-2932
Mailing Address - Country:US
Mailing Address - Phone:336-768-4140
Mailing Address - Fax:336-768-4487
Practice Address - Street 1:1364 WESTGATE CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-2932
Practice Address - Country:US
Practice Address - Phone:336-768-4140
Practice Address - Fax:336-768-4487
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9800982207W00000X
NC00982207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8913PGMedicaid
NC180044951OtherRAILROAD MEDICARE
NC299084OtherMAMSI
NC89131PGMedicaid
NC21972OtherOPTICARE
NC131PGOtherBCBS OF NC
NC180044951OtherRAILROAD MEDICARE
NC180044951OtherRAILROAD MEDICARE
NC131PGOtherBCBS OF NC
NCG74007Medicare UPIN