Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 2002031632 | MO |
N | 207T00000X | Neurosurgeon | E4419 | AR |
NPI | 1104873587 |
---|---|
Provider Name | Michael J Workman |
First Address | Springfield, MO 65801-9434 |
Second Address | Springfield, MO 65804-3634 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 21/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0214845 | DEPARTMENT OF LABOR WA (01) | WA |
05050016400 | QUAL CHOICE (01) | MO |
1602599 | UNITED HEALTHCARE (01) | MO |
162037001 | (05) | AR |
177827 | BLUE CROSS/CHOICE (01) | MO |
18271 | COX HEALTH PLANS UPI (01) | MO |
203066607 | (05) | MO |
4188130001 | CIGNA MEDICARE (01) | MO |
4515931001 | CIGNA HEALTHCARE (01) | MO |
5N251 | ARKANSAS BC/BS (01) | AR |
5N251 | ARKANSAS FIRST SOURCE (01) | AR |
5N251 | HEALTH ADVANTAGE (01) | AR |
H00794 | (02) | MO |
H00794 | USPS (W/C) (01) | MO |