Provider Demographics
NPI:1881771996
Name:MAGARY, STEVEN PHILIP (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:PHILIP
Last Name:MAGARY
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 1:40 N GRAND AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-4107
Mailing Address - Country:US
Mailing Address - Phone:859-781-4900
Mailing Address - Fax:859-572-3044
Practice Address - Street 1:20 MEDICAL VILLAGE DR
Practice Address - Street 2:SUITE 268
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017-5401
Practice Address - Country:US
Practice Address - Phone:859-341-1100
Practice Address - Fax:859-344-4443
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY35638207YP0228X, 207YX0602X, 207YX0901X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
No207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1052842OtherIN MEDICAL LICENSE
OH35-078319OtherOH MEDICAL LICENSE
KY35638OtherKY MEDICAL LICENSE
0000000179792OtherANTHEM
1181617OtherCHA
2344308OtherAETNA
KY65917965Medicaid
10-00617OtherUNITED HEALTHCARE
IN200259450Medicaid
KY64014814Medicaid
IN100015770Medicaid
OH2193684Medicaid
ND701342Medicaid
OH35-078319OtherOH MEDICAL LICENSE
KY64014814Medicaid
040015206Medicare ID - Type UnspecifiedRR MEDICARE
OH2193684Medicaid