NPIMap

Organization Active NPI

W James Downs Jr PT PA

Doing business as Tidewater Electromyography

  • Clinical Electrophysiology Physical Therapist
  • Easton, MD
National Provider Identifier
1356425938
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
Legal business name
W JAMES DOWNS JR PT PA
Doing business as
Tidewater Electromyography
Practice address
406 Marvel CT
Easton, MD 21601-4052
Phone
(410) 822-4613
Fax
(410) 822-6534
NPI assigned
Oct 24, 2006
Last updated
Mar 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Linda Booze
Title
Finance Manager
Phone
(410) 822-4613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Electrophysiology Physical Therapist 2251E1300X NU Primary

Addresses

Primary practice location

406 Marvel CT
Easton, MD 21601-4052

Mailing address

PO Box 1564
Easton, MD 21601-8932
Phone (410) 822-4613

Other names 1

  • TIDEWATER ELECTROMYOGRAPHY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050627001417 DE Part B Supplier - Clinic/Group Practice 7113960873 Receives reassigned benefits from 2 practitioners
Practice locations: Seaford, DE; Ocean View, DE; Milton, DE; Lewes, DE; Harrington, DE; Dover, DE; Georgetown, DE
O20120502000166 MD Part B Supplier - Clinic/Group Practice 7113960873 Receives reassigned benefits from 2 practitioners
Practice locations: Ocean Pines, MD; Salisbury, MD; St Michaels, MD; Pocomoke City, MD; Denton, MD; Easton, MD; Centreville, MD; Cambridge, MD…

National Provider Directory

National Provider Directory

Locations

1093 S Governors Ave
#B
Dover, DE 19904
Phone (302) 741-0248

240 Beiser Blvd
Ste 100
Dover, DE 19904
Phone (302) 734-5800

20750 John J Williams Hwy
Unit 1
Lewes, DE 19958
Phone (302) 645-0742

771 E Masten Cir
Milford, DE 19963
Phone (302) 430-0501

612 Mulberry St
Milton, DE 19968
Phone (302) 684-2829

63 Atlantic Ave
Unit A
Ocean View, DE 19970
Phone (302) 537-7260

300 Health Services Dr
Unit 302
Seaford, DE 19973

808 Middleford Rd
Ste 78
Seaford, DE 19973

800 Abruzzi Dr
Ste E
Chester, MD 21619

416 N 6th St
Denton, MD 21629
Phone (410) 479-3059

406 Marvel Ct
Ste B
Easton, MD 21601

101 Market St
#C
Pocomoke City, MD 21851

106 Milford St
Ste 302
Salisbury, MD 21804
Phone (410) 546-4431

119 W College Ave
Salisbury, MD 21804

1344 S Division St
Salisbury, MD 21804

1344 S Division St
Ste 201
Salisbury, MD 21804
Phone (410) 749-6760

1013 S Talbot St
Ste 3
St Michaels, MD 21663
Phone (410) 745-5000

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1356425938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1564",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216018932",
            "telephone_number": "410-822-4613",
            "fax_number": "410-822-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MARVEL CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014052",
            "telephone_number": "410-822-4613",
            "fax_number": "410-822-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W JAMES DOWNS JR PT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "BOOZE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "410-822-4613"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIDEWATER ELECTROMYOGRAPHY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.