Keith R Workman, MD
Individual provider Active NPI Anatomic Pathology Physician · Fredericksburg, VA
NPI 1932134129 · NPPES record last updated Jun 29, 2010
Key facts
- NPI
- 1932134129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology Physician 207ZP0101X
- License
- 0101234115 (VA)
- Practice address
- 1001 Sam Perry Blvd
Fredericksburg, VA 22401 - Phone
- (540) 741-1168
- Fax
- (540) 741-1422
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Georgetown University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pathology Associates of Fredericksburg PTR
Practice addresses (Care Compare)
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1168
101 Hospital Ctr Blvd
Stafford, VA 22554-6200
Phone (540) 741-1168
Hospital & facility affiliations
- Mary Washington Hospital
- Stafford Hospital, LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100901000663 | VA | Practitioner - Pathology | 2062536725 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Associates of Fredericksburg PTR | Anatomic Pathology | Current |
Accepting new patients |
| Creighton University | Past | Accepting new patients | |
| Creighton University | Past | Accepting new patients |
Locations
1201 Sam Perry Blvd
Ste 101
Fredericksburg, VA 22401
Phone (540) 741-4614
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
1201 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-7000
10401 Spotsylvania Ave
Fredericksburg, VA 22408
Phone (540) 741-0590
101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 0101234115 | VA | Yes |
Addresses
Primary practice location
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Mailing address
PO Box 822789
Philadelphia, PA 19182-2789
Phone (540) 741-1130
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006609279 | Medicaid | VA |
Other providers in Fredericksburg, VA
- Shanice E Woods
- Brittany Woodward
- Stephen Michael Woof
- Kristen Wooldridge
- Michelle Lee Woolwine
- Erika Boward Wormeley
- Sophia S Wormley
- June Wright-Good
- Andrew Wright
- Briana Nichole Wright
All providers in Fredericksburg, VA · Anatomic Pathology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.