NPIMap

Individual provider Active NPI

Theodore E Workman Jr., MD

  • Interventional Pain Medicine Physician
  • Redding, CA
National Provider Identifier
1316970031
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
G65834 Issued in CA
Practice address
2111 Airpark Dr
Redding, CA 96001-2433
Phone
(530) 247-3733
Fax
(530) 247-6906
NPI assigned
Jul 8, 2006
Last updated
Apr 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G65834 CA
Interventional Pain Medicine Physician 208VP0014X G65834 CA Primary

Addresses

Primary practice location

2111 Airpark Dr
Redding, CA 96001-2433

Mailing address

PO Box 990279
Redding, CA 96099-0279
Phone (530) 241-5499

Other practice location 1

1238 West St
Redding, CA 96001-0415
Phone (530) 241-5499

Other identifiers 2

IdentifierTypeStateIssuer
680449587OtherCABLUE CROSS
00G658340MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070118000611 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 5294736161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Michigan Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Redding Pain MedicineGroup PAC ID 2961734348, 4 clinicians

Practice addresses (Care Compare)

2111 Airpark Dr
Redding, CA 96001-2433
Phone (530) 247-3733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.33 of 100Reported as group
Quality
55.87
Promoting interoperability
100
Improvement activities
40
Cost
69.7

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Pain Medicine Anesthesiology CurrentSince Jan 21, 2019 Accepting new patients
Scripps Health Past Accepting new patients
Shasta Anesthesia Consultants a Medical Group Inc Anesthesiology Past Accepting new patients
Dignity Health Interventional Pain Medicine Past Accepting new patients

Locations

2111 Airpark Dr
Redding, CA 96001
Phone (530) 247-3733

Interoperability endpoints

  • Direct secure messaging: theodore.workman@scamc-ca.direct.office.nextgen.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1316970031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990279",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960990279",
            "telephone_number": "530-241-5499",
            "fax_number": "530-241-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 AIRPARK DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012433",
            "telephone_number": "530-247-3733",
            "fax_number": "530-247-6906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1238 West St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010415",
            "country_code": "US",
            "telephone_number": "530-241-5499",
            "fax_number": "530-241-5677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "THEODORE",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G65834",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G65834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "680449587",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G658340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.