Provider Demographics
NPI:1699796284
Name:DOWNING, OAKLEY B (MD)
Entity type:Individual
Prefix:DR
First Name:OAKLEY
Middle Name:B
Last Name:DOWNING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OAKLEY
Other - Middle Name:B
Other - Last Name:TYLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:199 JOHNSTOWN DR
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65742-9366
Mailing Address - Country:US
Mailing Address - Phone:417-753-7770
Mailing Address - Fax:417-753-7298
Practice Address - Street 1:199 JOHNSTOWN DR
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65742-9366
Practice Address - Country:US
Practice Address - Phone:417-753-7770
Practice Address - Fax:417-753-7298
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004016416207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO# PENDINGMedicaid
MO959163268Medicare PIN
MO# PENDINGMedicare UPIN
MO959163230Medicare PIN