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 | 207N00000X | Dermatology | | 4301407085 | 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 | 4358234 | OTHER | MICHIGAN | AETNA |
| 2 | F00397 | OTHER | MICHIGAN | HAP HMO |
| 3 | SG407085 | OTHER | MICHIGAN | BLUE CARE NETWORK ADVANTA |
| 4 | 0N96970006 | OTHER | MICHIGAN | BCBSM MEDICARE PLUS BLUE |
| 5 | 100784 | OTHER | MICHIGAN | MOLINA |
| 6 | 100962 | OTHER | MICHIGAN | GREAT LAKES HEALTH PLAN |
| 7 | 070E015730 | OTHER | MICHIGAN | BCN ADVANTAGE |
| 8 | 1222960001 | OTHER | MICHIGAN | MIDWEST HEALTH PLAN |
| 9 | 110028 | OTHER | MICHIGAN | PREFERRED PLUS |
| 10 | 29183 | OTHER | MICHIGAN | COMMUNITY CHOICE OF MICHI |
| 11 | 4358234 | OTHER | MICHIGAN | AETNA HMO |
| 12 | C3726 | OTHER | | MCARE |
| 13 | P00180380 | OTHER | MICHIGAN | TRAVELERS MEDICARE |
| 14 | 110028 | OTHER | MICHIGAN | CARER CHOICES |
| 15 | 1222960001 | OTHER | MICHIGAN | TOTAL HEALTH CARE |
| 16 | 200330360 | OTHER | MICHIGAN | HEALTH PLUS OF MICHIGAN |
| 17 | 070E15730 | OTHER | MICHIGAN | BCBSM |
| 18 | 4640517 | MEDICAID | MICHIGAN | |