Provider Demographics
NPI:1255525200
Name:STEVEN R DOWNER
Entity type:Organization
Organization Name:STEVEN R DOWNER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:DOWNER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:740-374-3700
Mailing Address - Street 1:409 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-2157
Mailing Address - Country:US
Mailing Address - Phone:740-374-3700
Mailing Address - Fax:740-374-2900
Practice Address - Street 1:409 2ND ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-2157
Practice Address - Country:US
Practice Address - Phone:740-374-3700
Practice Address - Fax:740-374-2900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36002427213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0682748Medicaid
WV0099476000Medicaid
WV0099476000Medicaid
WV0372430002Medicare NSC
OH0372430001Medicare NSC
T80659Medicare UPIN
OH0682748Medicaid