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 | 207RG0100X | Internal Medicine | Gastroenterology | | | No |
| 2 | 2084N0400X | Psychiatry & Neurology | Neurology | | | No |
| 3 | 207V00000X | Obstetrics & Gynecology | | | | No |
| 4 | 208600000X | Surgery | | | | No |
| 5 | 208800000X | Urology | | | | No |
| 6 | 207T00000X | Neurological Surgery | | | | No |
| 7 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | | No |
| 8 | 207Y00000X | Otolaryngology | | | | No |
| 9 | 207RP1001X | Internal Medicine | Pulmonary Disease | | | No |
| 10 | 207RS0012X | Internal Medicine | Sleep Medicine | | | No |
| 11 | 261QU0200X | Clinic/Center | Urgent Care | | | No |
| 12 | 207RI0200X | Internal Medicine | Infectious Disease | | | No |
| 13 | 231H00000X | Audiologist | | | | No |
| 14 | 2085R0202X | Radiology | Diagnostic Radiology | | | No |
| 15 | 208M00000X | Hospitalist | | | | Yes |