Provider Demographics
NPI:1114111234
Name:STEVEN R. DOWNER
Entity Type:Organization
Organization Name:STEVEN R. DOWNER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:DOWNER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:304-428-3800
Mailing Address - Street 1:2601 DUDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-2649
Mailing Address - Country:US
Mailing Address - Phone:304-428-3800
Mailing Address - Fax:304-428-3894
Practice Address - Street 1:2601 DUDLEY AVE
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-2649
Practice Address - Country:US
Practice Address - Phone:304-428-3800
Practice Address - Fax:304-428-3894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV00237213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0099476000Medicaid
OH0682748Medicaid