Provider Demographics
NPI:1609847391
Name:DOWNARD, PATRICK J (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:J
Last Name:DOWNARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 WHITTINGTON PKWY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4928
Mailing Address - Country:US
Mailing Address - Phone:502-625-5584
Mailing Address - Fax:502-426-2264
Practice Address - Street 1:1850 STATE ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4990
Practice Address - Country:US
Practice Address - Phone:502-625-5584
Practice Address - Fax:502-426-2264
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME158619207L00000X
IN01060256A207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000365065OtherANTHEM
KY000000365065OtherANTHEM
IN200512940OtherMANAGED HEALTH SERVICES
50009627OtherPASSPORT
IN000000365065OtherUNICARE
IN129703800OtherBLACK LUNG PROGRAM
IN200512940Medicaid
IN2684352000OtherPASSPORT ADVANTAGE
INP00234057OtherRAILROAD MEDICARE
IN000000365065OtherANTHEM MEDICAID
KY7100082570Medicaid
IN000000365065OtherANTHEM SENIOR ADVANTAGE
IN134960GOtherUNICARE MEDICARE
IN200512940OtherMDWISE HOOSIER ALLIANCE
IN000000365065OtherINDIANA COMPREHENSIVE
IN000000365065OtherHEALTHLINK
IN000000365065OtherONE NATION BENEFIT
IN129703800OtherUS DEPT OF LABOR
IN129703800OtherUS DEPT OF LABOR
50009627OtherPASSPORT