Individual
DR. MARK B WORKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 JAMES SIMPSON JR WAY, COVINGTON, KY 41011-0801
(859) 655-9500
(859) 655-3077
Mailing address
1500 JAMES SIMPSON JR WAY, COVINGTON, KY 41011-0801
(859) 655-9500
(859) 655-3077
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18687
KY
207RC0000X
Cardiovascular Disease Physician
35-047833
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0528763
—
OH
01
—
611300608065
CARESOURCE
OH
05
—
64079783
—
KY
01
—
P00893682
RAILROAD MEDICARE
KY
Enumeration date
08/22/2005
Last updated
02/15/2012
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