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 | 208800000X | Urology | | | | No |
| 2 | 208D00000X | General Practice | | | | No |
| 3 | 363A00000X | Physician Assistant | | | | No |
| 4 | 207Q00000X | Family Medicine | | | | No |
| 5 | 207RE0101X | Internal Medicine | Endocrinology, Diabetes & Metabolism | | | No |
| 6 | 207RH0003X | Internal Medicine | Hematology & Oncology | | | No |
| 7 | 207RN0300X | Internal Medicine | Nephrology | | | No |
| 8 | 207V00000X | Obstetrics & Gynecology | | | | No |
| 9 | 367A00000X | Advanced Practice Midwife | | | | No |
| 10 | 363L00000X | Nurse Practitioner | | | | No |
| 11 | 207R00000X | Internal Medicine | | | | Yes |
| 12 | 207ZC0006X | Pathology | Clinical Pathology | | | No |
| 13 | 2085R0202X | Radiology | Diagnostic Radiology | | | No |
| 14 | 208600000X | Surgery | | | | No |
| 15 | 207X00000X | Orthopaedic Surgery | | | | No |