MEDICARE: MRS. STEPHANIE PAIGE MCGEE 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	207Q00000X	Family Medicine Physician	58095	KY
2	207Q00000X	Family Medicine Physician	125076132	IL
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1811524309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE PAIGE MCGEE MD

Provider Business Mailing Address
First Line	:	PO BOX 776351
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6351
Country	:	US
Telephone Number	:	502-588-9490
Fax Number	:	502-272-5116

Provider Business Practice Location Address
First Line	:	12955 SHELBYVILLE RD STE 2
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40243-1538
Country	:	US
Telephone Number	:	502-245-4301
Fax Number	:	502-394-3632

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

Provider Enumeration Date	:	03/24/2020
Last Update Date	:	06/26/2024

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