Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 36-002427 | OH |
Y | 213ES0103X | Foot & Ankle Surgery | 00237 | WV |
NPI | 1043210339 |
---|---|
Provider Name | Steven R Downer |
First Address | Marietta, OH 45750-2116 |
Second Address | Marietta, OH 45750-2116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 12/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000119118 | ANTHEM (01) | OH |
0099476000 | MEDICAID (01) | WV |
0682748 | (05) | OH |
311217851004 | MOUNTAIN STATE BCBS (01) | WV |
480006188 | RAIL ROAD MEDICARE (01) | OH |
T80659 | (02) |