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 | 207X00000X | Orthopaedic Surgery | | | | No |
| 2 | 207XS0106X | Orthopaedic Surgery | Hand Surgery | | | No |
| 3 | 207XX0004X | Orthopaedic Surgery | Foot and Ankle Surgery | | | No |
| 4 | 207XX0005X | Orthopaedic Surgery | Sports Medicine | | | No |
| 5 | 363A00000X | Physician Assistant | | | | No |
| 6 | 363L00000X | Nurse Practitioner | | | | No |
| 7 | 213ES0103X | Podiatrist | Foot & Ankle Surgery | | | No |
| 8 | 207L00000X | Anesthesiology | | | | No |
| 9 | 207LP2900X | Anesthesiology | Pain Medicine | | | No |
| 10 | 207QS0010X | Family Medicine | Sports Medicine | | | No |
| 11 | 207T00000X | Neurological Surgery | | | | No |
| 12 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | Yes |