MEDICARE: THOMAS JAMES DOWNS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	6109	NH
2	207Q00000X	Family Medicine Physician	32254	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0105056YPNH02	OTHER	NH	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	782015	OTHER	NH	MVP
5	1627174	OTHER	NH	CIGNA

General Provider Information

NPI Number	:	1578568259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS JAMES DOWNS MD

Provider Business Mailing Address
First Line	:	44 SHEFFIELD AVE
Second Line	:
City	:	BEAUFORT
State	:	SC
Zip	:	29907-1753
Country	:	US
Telephone Number	:	843-522-6862
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 SHEFFIELD AVE
Second Line	:
City	:	BEAUFORT
State	:	SC
Zip	:	29907-1753
Country	:	US
Telephone Number	:	843-522-6862
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	03/24/2010

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