Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 2083X0100X | Preventive Medicine | Occupational Medicine | 28482 | WEST VIRGINIA | No |
| 2 | 208D00000X | General Practice | | 28482 | WEST VIRGINIA | No |
| 3 | 208VP0014X | Pain Medicine | Interventional Pain Medicine | 28482 | WEST VIRGINIA | No |
| 4 | 208VP0014X | Pain Medicine | Interventional Pain Medicine | ME147989 | FLORIDA | Yes |