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 | 208600000X | Surgery | | 4301084601 | MICHIGAN | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 4670697-10 | MEDICAID | MICHIGAN | |
| 2 | 2784044 10 | MEDICAID | MICHIGAN | |
| 3 | 5209977 10 | MEDICAID | MICHIGAN | |
| 4 | 23T015 | MEDICARE OSCAR/CERTIFICATION | MICHIGAN | |
| 5 | B45368 | MEDICARE UPIN | MICHIGAN | |
| 6 | 5209995 10 | MEDICAID | MICHIGAN | |
| 7 | 230015 | MEDICARE OSCAR/CERTIFICATION | MICHIGAN | |
| 8 | 700G5600080 | OTHER | MICHIGAN | BCBS GROUP-SURGICAL SERVICES |
| 9 | 700G560080 | OTHER | MICHIGAN | BCBSM |
| 10 | G56008 118 | MEDICARE ID-TYPE UNSPECIFIED | MICHIGAN | |