Provider Demographics
NPI:1295156545
Name:DOWNING, JOSEPH W (CRNA)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:W
Last Name:DOWNING
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MORGAN HL
Mailing Address - Street 2:
Mailing Address - City:CHARLEROI
Mailing Address - State:PA
Mailing Address - Zip Code:15022-3489
Mailing Address - Country:US
Mailing Address - Phone:724-525-0306
Mailing Address - Fax:
Practice Address - Street 1:1 MORGAN HL
Practice Address - Street 2:
Practice Address - City:CHARLEROI
Practice Address - State:PA
Practice Address - Zip Code:15022-3489
Practice Address - Country:US
Practice Address - Phone:724-525-0306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-03
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101294367500000X
WVAPRN83584-CRNA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV9333201OtherMEDICARE GROUP
WV0207026000OtherMEDICAID GROUP
WVQ56327AMedicare PIN