A native of Delaware, Dr. James E. Downing, M.D. is a graduate of Tulane University Medical School of Medicine. He completed his residency and fellowship in anesthesiology and pain research at both Tulane and The Ochsner Clinic. He is board certified in anesthesiology and sub-specialty board certified in pain management. He has over 20 years' experience in interventional adult pain management. In private practice since 2003, when he and Dr. Witherell founded Interventional Spine Pain Consultants, PA, Dr. Downing has affiliations with Spine Care Delaware and Delaware Outpatient Center for Surgery, both ambulatory surgery centers. Dr. Downing is a medical director of Spine Care Delaware and a member of the State of Delaware Health Advisory Panel.