Healthcare Provider Details

I. General information

NPI: 1598966442
Provider Name (Legal Business Name): JOHN WESLEY DOWNS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 03/07/2023
Certification Date: 06/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE OCCUPATIONAL MEDICINE SERVICE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

2516 CHIMNEY HOUSE CT
MIDLOTHIAN VA
23112-4306
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-0786
  • Fax:
Mailing address:
  • Phone: 703-655-5801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0089715
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number48663
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD-14644
License Number StateHI
# 4
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number0101251116
License Number StateVA
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101251116
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: