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 | 207L00000X | Anesthesiology | | | | No |
| 2 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | | No |
| 3 | 207RI0011X | Internal Medicine | Interventional Cardiology | | | No |
| 4 | 207UN0901X | Nuclear Medicine | Nuclear Cardiology | | | No |
| 5 | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | | | | No |
| 6 | 363AM0700X | Physician Assistant | Medical | | | No |
| 7 | 363LA2100X | Nurse Practitioner | Acute Care | | | No |
| 8 | 363LF0000X | Nurse Practitioner | Family | | | No |
| 9 | 364SA2200X | Clinical Nurse Specialist | Adult Health | | | No |
| 10 | 207RC0001X | Internal Medicine | Clinical Cardiac Electrophysiology | | | Yes |