Healthcare Provider Details

I. General information

NPI: 1750968277
Provider Name (Legal Business Name): SYDNEY ELAINE DOWNEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6040 UNIVERSITY TOWN CENTRE DR
MORGANTOWN WV
26501-2421
US

IV. Provider business mailing address

2123 SUNCREST VLG
MORGANTOWN WV
26505-3852
US

V. Phone/Fax

Practice location:
  • Phone: 304-598-4835
  • Fax: 304-285-7355
Mailing address:
  • Phone: 304-444-5671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number33780
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: