Provider Demographics
NPI:1457986051
Name:SIBYL DOWNING LLC
Entity Type:Organization
Organization Name:SIBYL DOWNING LLC
Other - Org Name:DOWNING PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIBYL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-273-6320
Mailing Address - Street 1:1918 N WOODBINE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506
Mailing Address - Country:US
Mailing Address - Phone:816-396-8855
Mailing Address - Fax:816-396-6123
Practice Address - Street 1:1918 N WOODBINE RD
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506
Practice Address - Country:US
Practice Address - Phone:816-396-8855
Practice Address - Fax:816-396-6123
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REVEAL WELLNESS AND MED SPA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-04
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1093744948OtherNPI