Individual provider Active NPI

Amanda Dawn Workman, MD

  • Pediatrics Physician
  • Ironton, OH
National Provider Identifier
1033323100
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.130305 Issued in OH
Practice address
1408 Campbell Dr
Suite 201
Ironton, OH 45638-2301
Phone
(740) 534-9202
NPI assigned
May 9, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 22920 WV
Pediatrics Physician 208000000X 35.130305 OH Primary

Addresses

Primary practice location

1408 Campbell Dr
Suite 201
Ironton, OH 45638-2301

Mailing address

305 N 5TH St
Ironton, OH 45638-1578
Phone (740) 532-3534

Other practice location 1

10777 County Road 107
Proctorville, OH 45669-8130
Phone (740) 302-0541

Other identifiers 3

IdentifierTypeStateIssuer
7100099360MedicaidKY
3810010436MedicaidWV
2933446MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170324001170 OH Practitioner - Pediatric Medicine 1355424359 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.130305OHMDPediatrics Physician
22920WVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Apr 1, 2017 Accepting new patients
Ironton & Lawrence County Area Community Action Organization Current Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Jun 1, 2020 Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Apr 1, 2017 Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Dec 12, 2018 Accepting new patients
Ironton & Lawrence Countyarea Community Action Organization CurrentSince Apr 1, 2017 Accepting new patients
Ironton & Lawrence County Area Community Action Organization Current Accepting new patients
Ironton & Lawrence County Area Community Action Organization Current Accepting new patients

Locations

717 3rd Ave
Chesapeake, OH 45619
Phone (740) 867-6687

717 3rd Ave
#C
Chesapeake, OH 45619
Phone (740) 867-6687

223 Carlton Davidson Ln
Coal Grove, OH 45638
Phone (740) 532-3048

120 N 3rd St
Ironton, OH 45638
Phone (740) 532-7855

1408 Campbell Dr
#201
Ironton, OH 45638
Phone (740) 534-9195

1408 Campbell Dr
Ste 201
Ironton, OH 45638
Phone (740) 534-9195

305 N 5th St
Ironton, OH 45638

13804 State Route 141
Kitts Hill, OH 45645
Phone (740) 643-0234

10777 County Road 107
Proctorville, OH 45669
Phone (740) 302-0541

55 Township Road 508 E
South Point, OH 45680
Phone (740) 377-2712

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDDBD/Endpoint/IBDDBD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033323100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 5TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381578",
            "telephone_number": "740-532-3534",
            "fax_number": "740-532-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 CAMPBELL DR",
            "address_2": "SUITE 201",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382301",
            "telephone_number": "740-534-9202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10777 County Road 107",
            "address_purpose": "LOCATION",
            "city": "Proctorville",
            "state": "OH",
            "postal_code": "456698130",
            "country_code": "US",
            "telephone_number": "740-302-0541",
            "fax_number": "740-886-0255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "22920",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.130305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100099360",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010436",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2933446",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

Verify at the official NPI Registry.