MEDICARE: THEODORE E WORKMAN JR. MD

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	207L00000X	Anesthesiology Physician	G65834	CA
2	208VP0014X	Interventional Pain Medicine Physician	G65834	CA

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
2	680449587	OTHER	CA	BLUE CROSS

General Provider Information

NPI Number	:	1316970031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THEODORE E WORKMAN JR. MD

Provider Business Mailing Address
First Line	:	PO BOX 990279
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96099-0279
Country	:	US
Telephone Number	:	530-241-5499
Fax Number	:	530-241-5677

Provider Business Practice Location Address
First Line	:	2111 AIRPARK DR
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-2433
Country	:	US
Telephone Number	:	530-247-3733
Fax Number	:	530-247-6906

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

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	04/25/2019

Similar Medicare Providers

1669328308 — GREENVILLE RANCHERIA
Practice Location Address:

2139 AIRPARK DR
REDDING, CA
96001-2433

Practice Phone: 530-247-0270
Practice Fax:

1215922190 — DR. ROBERT E. MAURER M.D.
Practice Location Address:

2121 AIRPARK DR
REDDING, CA
96001-2433

Practice Phone: 530-244-6001
Practice Fax: 530-244-6005

1538157615 — DR. EDITHA CACHO ORLINO-OLIVA MD
Practice Location Address:

2135 AIRPARK DR , SUITE A
REDDING, CA
96001-2433

Practice Phone: 530-241-5272
Practice Fax: 530-241-3729

1053300632 — CRAIG A KRAFFERT M.D.
Practice Location Address:

2107 AIRPARK DR
REDDING, CA
96001-2433

Practice Phone: 530-241-1111
Practice Fax: 530-241-4870

1952338907 — MR. BRIAN A REBER P.A.
Practice Location Address:

2107 AIRPARK DR
REDDING, CA
96001-2433

Practice Phone: 530-241-7098
Practice Fax: 530-241-1483

1275561151 — REDDING DERMATOLOGY MEDICAL GROUP, INC.
Practice Location Address:

2107 AIRPARK DR
REDDING, CA
96001-2433

Practice Phone: 530-241-1111
Practice Fax: 531-241-1483

Directions to “ THEODORE E WORKMAN JR. MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.