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 | 207Y00000X | Otolaryngology | | MD-44501 | IOWA | No |
| 2 | 207Y00000X | Otolaryngology | | MD53998 | TENNESSEE | No |
| 3 | 207YP0228X | Otolaryngology | Pediatric Otolaryngology | MD-44501 | IOWA | No |
| 4 | 207YS0012X | Otolaryngology | Sleep Medicine | MD-44501 | IOWA | No |
| 5 | 207YX0007X | Otolaryngology | Plastic Surgery within the Head & Neck | MD-44501 | IOWA | No |
| 6 | 207YX0602X | Otolaryngology | Otolaryngic Allergy | MD-44501 | IOWA | No |
| 7 | 207YX0901X | Otolaryngology | Otology & Neurotology | MD-44501 | IOWA | No |
| 8 | 207YX0905X | Otolaryngology | Otolaryngology/Facial Plastic Surgery | MD-44501 | IOWA | No |
| 9 | 207YS0123X | Otolaryngology | Facial Plastic Surgery | MD-44501 | IOWA | Yes |