Provider Demographics
NPI:1760584031
Name:NAGY, STEPHEN SUMNER (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:SUMNER
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:PO BOX 5714
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59604-5714
Mailing Address - Country:US
Mailing Address - Phone:406-459-4387
Mailing Address - Fax:406-447-6070
Practice Address - Street 1:1892 WILLIAMS STREET
Practice Address - Street 2:
Practice Address - City:FORT HARRISON
Practice Address - State:MT
Practice Address - Zip Code:59636
Practice Address - Country:US
Practice Address - Phone:406-447-6000
Practice Address - Fax:406-447-6070
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT87002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
D96523Medicare UPIN