Individual provider Active NPI

Earl Courtney Downey Jr., MD

  • Pediatric Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1225119019
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
48597921205 Issued in UT
Practice address
241 N Vine St Apt 906E
906E
Salt Lake City, UT 84103-1926
Phone
(801) 891-2940
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 48597921205 UT Primary

Addresses

Primary practice location

241 N Vine St Apt 906E
906E
Salt Lake City, UT 84103-1926

Mailing address

241 N Vine St
906E
Salt Lake City, UT 84103-1962

Other identifiers 4

IdentifierTypeStateIssuer
D3887MedicaidUT
01076184B.OtherINPHYSICIAN LICENSE
TD151161OtherMEPHYSICIAN LICENSE
G45941OtherCAPHYSICIAN LICENSE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48597921205UTMDPediatric Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1225119019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 N VINE ST",
            "address_2": "906E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841031962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 N VINE ST APT 906E",
            "address_2": "906E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841031926",
            "telephone_number": "801-891-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNEY",
        "first_name": "EARL",
        "middle_name": "COURTNEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "UT",
            "license": "48597921205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D3887",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "01076184B.",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "TD151161",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "G45941",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.