Provider Demographics
NPI:1598767956
Name:DOWDY, JAMES CRAIG (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CRAIG
Last Name:DOWDY
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 1:300 S 8TH ST
Mailing Address - Street 2:SUITE 401E
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2400
Mailing Address - Country:US
Mailing Address - Phone:270-753-2444
Mailing Address - Fax:270-767-3644
Practice Address - Street 1:300 S 8TH ST
Practice Address - Street 2:SUITE 401E
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071
Practice Address - Country:US
Practice Address - Phone:270-753-2444
Practice Address - Fax:270-752-2865
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000016842208600000X
KY263982086S0129X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64263981Medicaid
TN0093365OtherTN BC/BS PIN #
KY64263981Medicaid
KY000000052000OtherBC/BS #
KYCB3611OtherRR MEDICARE GRP #
KY611330797001OtherTRICARE GRP #
KY65933855Medicaid
KYCB3611OtherRR MEDICARE GRP #
KY611330797001OtherTRICARE GRP #
KYE07414Medicare UPIN
KY65933855Medicaid