Provider Demographics
NPI:1023008729
Name:DOWNING, JOHN EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:EDWARD
Last Name:DOWNING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOHN
Other - Middle Name:E
Other - Last Name:DOWNING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:825 2ND AVE STE A5
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-1789
Mailing Address - Country:US
Mailing Address - Phone:270-796-3533
Mailing Address - Fax:270-796-3539
Practice Address - Street 1:825 2ND AVE STE A5
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-1789
Practice Address - Country:US
Practice Address - Phone:270-796-3533
Practice Address - Fax:270-796-3539
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY13422207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64134224Medicaid
KY64134224Medicaid
KYP400029509Medicare PIN