Provider Demographics
NPI:1568772333
Name:JOHN E DOWNING PSC
Entity Type:Organization
Organization Name:JOHN E DOWNING PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-793-2774
Mailing Address - Street 1:1724 ROCKINGHAM AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-5840
Mailing Address - Country:US
Mailing Address - Phone:270-799-2259
Mailing Address - Fax:270-495-1310
Practice Address - Street 1:1724 ROCKINGHAM AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-5840
Practice Address - Country:US
Practice Address - Phone:270-799-2259
Practice Address - Fax:270-495-1310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY13422207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64134224Medicaid
KY64134224Medicaid
KYP100029485Medicare PIN