Healthcare Provider Details

I. General information

NPI: 1831290345
Provider Name (Legal Business Name): ANESTHESIA AND PAIN SPECIALISTS, A MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 04/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1238 WEST ST
REDDING CA
96001-0415
US

IV. Provider business mailing address

PO BOX 990279
REDDING CA
96099-0279
US

V. Phone/Fax

Practice location:
  • Phone: 530-241-5499
  • Fax: 530-241-5677
Mailing address:
  • Phone: 530-241-5499
  • Fax: 530-241-5677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberG65834
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG65834
License Number StateCA

VIII. Authorized Official

Name: DR. THEODORE E. WORKMAN JR.
Title or Position: OWNER/CEO
Credential: MD
Phone: 530-241-5499