Individual provider Active NPI

Mary Beth Downer, P.A.

  • Physician Assistant
  • Greenwich, CT
National Provider Identifier
1164443032
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001167 Issued in CT
Practice address
77 Lafayette PL
Radiation Oncology-2ND Floor
Greenwich, CT 06830-5426
Phone
(203) 863-3773
Fax
(203) 863-3723
NPI assigned
Jul 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001167 CT Primary

Addresses

Primary practice location

77 Lafayette PL
Radiation Oncology-2ND Floor
Greenwich, CT 06830-5426

Mailing address

77 Lafayette PL
Radiation Oncology-2ND Floor
Greenwich, CT 06830-5426
Phone (203) 863-3773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001167CTMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164443032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 LAFAYETTE PL",
            "address_2": "RADIATION ONCOLOGY-2ND FLOOR",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305426",
            "telephone_number": "203-863-3773",
            "fax_number": "203-863-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 LAFAYETTE PL",
            "address_2": "RADIATION ONCOLOGY-2ND FLOOR",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305426",
            "telephone_number": "203-863-3773",
            "fax_number": "203-863-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNER",
        "first_name": "MARY BETH",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.