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 | 207R00000X | Internal Medicine | | LL29140 | SOUTH CAROLINA | No |
2 | 207R00000X | Internal Medicine | | 256390 | NEW YORK | No |
3 | 207RC0200X | Internal Medicine | Critical Care Medicine | 256390 | NEW YORK | No |
4 | 207RP1001X | Internal Medicine | Pulmonary Disease | 256390 | NEW YORK | No |
5 | 207R00000X | Internal Medicine | | 18582 | MONTANA | No |
6 | 207RP1001X | Internal Medicine | Pulmonary Disease | 18582 | MONTANA | No |
7 | 207RC0200X | Internal Medicine | Critical Care Medicine | 18582 | MONTANA | Yes |
8 | 207RP1001X | Internal Medicine | Pulmonary Disease | MD2016-0024 | NEW MEXICO | No |
9 | 207R00000X | Internal Medicine | | MD2016-0024 | NEW MEXICO | No |
10 | 207RC0200X | Internal Medicine | Critical Care Medicine | MD2016-0024 | NEW MEXICO | No |