Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 0101231481 | VA |
NPI | 1003850744 |
---|---|
Provider Name | Mark C Downey |
First Address | Williamsburg, VA 23188 |
Second Address | Williamsburg, VA 23188-5709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 28/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010126088 | (05) | VA |
010126088 | VA PREMIERE HEALTH PLAN (01) | |
12-02789 | UNITED HEALTHCARE (01) | |
153980 | ANTHEM (01) | |
249628 | SOUTHERN HEALTH (01) | |
2710497 | AETNA HMO (01) | |
41203 | SENTARA/OPTIMA (01) | |
54-1778786 | CCN (01) | |
54-1778786 | FIRST HEALTH/MAIL HANDLER (01) | |
54-1778786 | MID ATLANTIC HEALTH SOLUT (01) | |
54-1778786 | PHCS (01) | |
54-1778786 | VA HEALTH NETWORK (01) | |
54-1778786-032 | CHAMPUS/TRICARE (01) | |
6731745 | CIGNA (01) | |
7557155 | AETNA TRADITIONAL (01) | |
8128044 | MAMSI/MDIPA (01) | |
H29692 | (02) |