Provider Demographics
NPI:1164481685
Name:WORKMAN, CLAUDE RAYMOND (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:RAYMOND
Last Name:WORKMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:336-794-8624
Mailing Address - Fax:336-231-8845
Practice Address - Street 1:2827 LYNDHURST AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-4145
Practice Address - Country:US
Practice Address - Phone:336-794-8624
Practice Address - Fax:336-231-8845
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC362962086S0129X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89137WNMedicaid
VA1164481685Medicaid
NC36296OtherNC LICENSE
NCBW6630582OtherDEA NUMBER
NC2033790AMedicare PIN
VA1164481685Medicaid
NCI21541Medicare UPIN