MEDICARE: STEPHEN R FEAGINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35071290	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110225800	OTHER	OH	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2559361	OTHER		AETNA
4	000000195864	OTHER	OH	ANTHEM
5	0401897	OTHER		UNITED HEALTHCARE OF OHIO

General Provider Information

NPI Number	:	1265423941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN R FEAGINS MD

Provider Business Mailing Address
First Line	:	8000 5 MILE RD STE 100
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-2187
Country	:	US
Telephone Number	:	513-233-6980
Fax Number	:	513-233-6983

Provider Business Practice Location Address
First Line	:	8000 5 MILE RD STE 100
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-2187
Country	:	US
Telephone Number	:	513-233-6980
Fax Number	:	513-233-6983

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	06/02/2023

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Directions to “ STEPHEN R FEAGINS MD” Practice Location

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