Provider Demographics
NPI:1043210339
Name:DOWNER, STEVEN R (DPM)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:R
Last Name:DOWNER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 SECOND STREET
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-2116
Mailing Address - Country:US
Mailing Address - Phone:740-374-3700
Mailing Address - Fax:740-374-2900
Practice Address - Street 1:409 SECOND STREET
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-2116
Practice Address - Country:US
Practice Address - Phone:740-374-3700
Practice Address - Fax:740-374-2900
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36-002427213EP1101X
WV00237213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000119118OtherANTHEM
WV0099476000OtherMEDICAID
OH0682748Medicaid
WV311217851004OtherMOUNTAIN STATE BCBS
OH480006188OtherRAIL ROAD MEDICARE
OH000000119118OtherANTHEM
OH480006188OtherRAIL ROAD MEDICARE
OHD00605273Medicare ID - Type Unspecified