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 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | | No |
| 2 | 207RE0101X | Internal Medicine | Endocrinology, Diabetes & Metabolism | | | No |
| 3 | 207RX0202X | Internal Medicine | Medical Oncology | | | No |
| 4 | 207ZB0001X | Pathology | Blood Banking & Transfusion Medicine | | | No |
| 5 | 208U00000X | Clinical Pharmacology | | | | No |
| 6 | 251300000X | Local Education Agency (LEA) | | | | No |
| 7 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 8 | 251J00000X | Nursing Care | | | | No |
| 9 | 251V00000X | Voluntary or Charitable | | | | No |
| 10 | 261QE0700X | Clinic/Center | End-Stage Renal Disease (ESRD) Treatment | | | No |
| 11 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 12 | 261QP2000X | Clinic/Center | Physical Therapy | | | No |
| 13 | 261QR0400X | Clinic/Center | Rehabilitation | | | No |
| 14 | 261QR0401X | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | | | No |
| 15 | 261QA0600X | Clinic/Center | Adult Day Care | | | Yes |