Provider Demographics
NPI:1013929967
Name:NAGY, STEPHEN MEARS II (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MEARS
Last Name:NAGY
Suffix:II
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 1:4801 J ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3746
Mailing Address - Country:US
Mailing Address - Phone:916-456-4782
Mailing Address - Fax:591-645-6827
Practice Address - Street 1:4801 J ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3746
Practice Address - Country:US
Practice Address - Phone:916-456-4782
Practice Address - Fax:591-645-6827
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG14269207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA39216Medicare UPIN
00G142691Medicare PIN