Provider Demographics
NPI:1396763835
Name:DOWNING, CHRISTOPHER LEE (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:LEE
Last Name:DOWNING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1787 W LEE HWY STE 3
Mailing Address - Street 2:
Mailing Address - City:WYTHEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24382-1437
Mailing Address - Country:US
Mailing Address - Phone:762-228-1050
Mailing Address - Fax:855-352-6646
Practice Address - Street 1:1787 W LEE HWY STE 3
Practice Address - Street 2:
Practice Address - City:WYTHEVILLE
Practice Address - State:VA
Practice Address - Zip Code:24382-1437
Practice Address - Country:US
Practice Address - Phone:276-228-1050
Practice Address - Fax:855-352-6646
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102203556208600000X
WV2074208600000X
IA3810208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVDO4143181Medicare ID - Type Unspecified
WV3810001244Medicaid
IA1396763835Medicaid
IA20546Medicare PIN
WVP00177841OtherRAILROAD MEDICARE
WV010140552OtherFIRST HEALTH
WV7954609OtherAETNA
WV154618OtherANTHEM BCBS
WV056OtherMTST BCBS
WVI21765Medicare UPIN