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 | 207R00000X | Internal Medicine | | 17162 | NEW HAMPSHIRE | No |
2 | 207R00000X | Internal Medicine | | 17305 | MISSISSIPPI | No |
3 | 207RC0000X | Internal Medicine | Cardiovascular Disease | 17162 | NEW HAMPSHIRE | No |
4 | 207RC0000X | Internal Medicine | Cardiovascular Disease | 17305 | MISSISSIPPI | No |
5 | 207RI0011X | Internal Medicine | Interventional Cardiology | 17162 | NEW HAMPSHIRE | Yes |
6 | 207RI0011X | Internal Medicine | Interventional Cardiology | 17305 | MISSISSIPPI | No |