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 | 163WW0000X | Registered Nurse | Wound Care | | | No |
| 2 | 207N00000X | Dermatology | | | | No |
| 3 | 207R00000X | Internal Medicine | | | | No |
| 4 | 207RI0200X | Internal Medicine | Infectious Disease | | | No |
| 5 | 207RP1001X | Internal Medicine | Pulmonary Disease | | | No |
| 6 | 208200000X | Plastic Surgery | | | | Yes |
| 7 | 2082S0099X | Plastic Surgery | Plastic Surgery Within the Head and Neck | | | No |
| 8 | 2086S0122X | Surgery | Plastic and Reconstructive Surgery | | | No |
| 9 | 208D00000X | General Practice | | | | No |
| 10 | 213E00000X | Podiatrist | | | | No |
| 11 | 225100000X | Physical Therapist | | | | No |
| 12 | 246RP1900X | Technician, Pathology | Phlebotomy | | | No |
| 13 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |