Basic Information
Provider Information
NPI: 1598820110
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOWNEY
FirstName: AMANDA
MiddleName: L
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8717 W 110TH ST STE 600
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662102126
CountryCode: US
TelephoneNumber: 9134282900
FaxNumber: 9134282951
Practice Location
Address1: 8717 W 110TH ST STE 600
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 66210
CountryCode: US
TelephoneNumber: 9134282900
FaxNumber: 9134282951
Other Information
ProviderEnumerationDate: 12/26/2006
LastUpdateDate: 04/29/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XA94082CAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207LP2900XA94082CAN Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
207L00000X04-34766KSY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


Home