Individual provider Active NPI

Warren J Downhour, D.O,

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1043264716
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4628 Issued in AZ
Practice address
4700 N 51St Ave
6
Phoenix, AZ 85031-1237
Phone
(623) 209-5555
Fax
(623) 247-1905
NPI assigned
May 19, 2006
Last updated
Apr 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34004028 OH
Family Medicine Physician 207Q00000X 4628 AZ Primary

Addresses

Primary practice location

4700 N 51St Ave
6
Phoenix, AZ 85031-1237

Mailing address

4700 N 51St Ave
6
Phoenix, AZ 85031-1237
Phone (623) 209-5555

Other identifiers 3

IdentifierTypeStateIssuer
080195135OtherOHRAILROAD MEDICARE
000000279843OtherOHANTHEM
0728001MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040927001222 OH Practitioner - Family Practice 8820067853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2200 W Broad St
Columbus, OH 43223-1297
Phone (614) 752-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince May 6, 2024 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince May 6, 2024 Accepting new patients
Vakolane Home Healthcare, LLC CurrentSince Mar 1, 2021 Accepting new patients
Abrazo Medical Group Urgent Care LLC Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients

Locations

2200 W Broad St
Columbus, OH 43223

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

453 Waterbury Ct
Gahanna, OH 43230
Phone (614) 381-9795

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1043264716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N 51ST AVE",
            "address_2": "6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311237",
            "telephone_number": "623-209-5555",
            "fax_number": "623-247-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N 51ST AVE",
            "address_2": "6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311237",
            "telephone_number": "623-209-5555",
            "fax_number": "623-247-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNHOUR",
        "first_name": "WARREN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004028",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080195135",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000279843",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0728001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.