Provider Demographics
NPI:1912942848
Name:NAGY, FERENC (MD CMD)
Entity Type:Individual
Prefix:DR
First Name:FERENC
Middle Name:
Last Name:NAGY
Suffix:
Gender:M
Credentials:MD CMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3807 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-5005
Mailing Address - Country:US
Mailing Address - Phone:602-258-6797
Mailing Address - Fax:602-258-1134
Practice Address - Street 1:5940 E COPPER HILL DR STE E
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-2860
Practice Address - Country:US
Practice Address - Phone:928-237-1304
Practice Address - Fax:928-237-1396
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11785174400000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ209008Medicaid
AZ209008Medicaid
Z26227Medicare PIN