MEDICARE: FREDERICK M WORKMAN DO

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	207R00000X	Internal Medicine Physician	34006839	OH
2	207RS0010X	Sports Medicine (Internal Medicine) Physician	46235	CO
3	207R00000X	Internal Medicine Physician	02005118A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023001948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FREDERICK M WORKMAN DO

Provider Business Mailing Address
First Line	:	2 S CASCADE AVE
Second Line	:	SUITE 140
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-1624
Country	:	US
Telephone Number	:	719-538-2900
Fax Number	:	719-538-2961

Provider Business Practice Location Address
First Line	:	2222 N NEVADA AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-6819
Country	:	US
Telephone Number	:	719-636-9393
Fax Number	:	719-538-2961

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

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	08/15/2017

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Directions to “ FREDERICK M WORKMAN DO” Practice Location

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