Individual provider Active NPI

Thomas Watson Downes III, M.D.

  • Surgery Physician
  • Boaz, AL
National Provider Identifier
1689725814
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
15086 Issued in AL
Practice address
2525 US Highway 431
Suite 170
Boaz, AL 35957-5934
Phone
(256) 593-1611
Fax
(256) 840-4596
NPI assigned
Jan 15, 2007
Last updated
Feb 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 15086 AL Primary

Addresses

Primary practice location

2525 US Highway 431
Suite 170
Boaz, AL 35957-5934

Mailing address

2525 US Highway 431
Suite 170
Boaz, AL 35957-5934
Phone (256) 593-1611

Other identifiers 2

IdentifierTypeStateIssuer
000082305MedicaidAL
51082305OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110201000103 AL Practitioner - General Surgery 4385735380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15086ALMDPharmacotherapy Pharmacist

Interoperability endpoints

  • Direct secure messaging: thomas.downes.marshallsurgicalclinic@msc.direct.systemedx.com

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1689725814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 US HIGHWAY 431",
            "address_2": "SUITE 170",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575934",
            "telephone_number": "256-593-1611",
            "fax_number": "256-840-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 US HIGHWAY 431",
            "address_2": "SUITE 170",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575934",
            "telephone_number": "256-593-1611",
            "fax_number": "256-840-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNES",
        "first_name": "THOMAS",
        "middle_name": "WATSON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "15086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000082305",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51082305",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

Verify at the official NPI Registry.