Provider Demographics
NPI:1477505998
Name:DOWNING, GREGORY C (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:C
Last Name:DOWNING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6078 NORWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-5783
Mailing Address - Country:US
Mailing Address - Phone:915-577-0100
Mailing Address - Fax:915-532-3876
Practice Address - Street 1:122 W CASTELLANO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-6170
Practice Address - Country:US
Practice Address - Phone:915-577-0100
Practice Address - Fax:915-532-3876
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01055583A2085R0202X
MO20010289772085R0202X
SC277692085R0202X
FLME953772085R0202X
CAG874772085R0202X
KY399122085R0202X
TXL86722085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS516561116OtherBCBS
10841377OtherCAQH
MN868160100Medicaid
MO204849418Medicaid
MS300000990Medicare ID - Type Unspecified
IAIB1370001Medicare PIN
MSP00234303Medicare ID - Type UnspecifiedRAILRAOD
KY0091311Medicare PIN
MO937664813Medicare ID - Type Unspecified
MOP00270449Medicare ID - Type UnspecifiedRAILROAD
MN868160100Medicaid