Individual
TIMOTHY O WORKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
296 FAIR ST., TIMOTHY O. WORKMAN, MD, LEWISBURG, WV 24901-2632
(304) 647-4747
(304) 647-4293
Mailing address
PO BOX 457, 200 POCAHONTAS TRAIL, WHITE SULPHUR SPRINGS, WV 24986-0457
(304) 536-5030
(304) 536-5031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1202
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042092000
—
WV
05
—
005630797
—
VA
01
—
200026
LUNG
—
01
—
236403117
TRICARE
—
01
—
245039
ANTHEM
WV
01
—
4539949
AETNA
—
01
—
454181
ANTHEM
VA
01
—
5181993
CCN
—
01
—
541839718
C&O
—
01
—
541839718011
BS MOUNTAIN STATE
WV
01
—
58246
CARELINK
—
01
—
5916968
CIGNA
—
Enumeration date
06/16/2005
Last updated
05/24/2018
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