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 | 208M00000X | Hospitalist | | | | No |
| 2 | 213E00000X | Podiatrist | | | | No |
| 3 | 207LP2900X | Anesthesiology | Pain Medicine | | | No |
| 4 | 207N00000X | Dermatology | | | | No |
| 5 | 207R00000X | Internal Medicine | | | | No |
| 6 | 207RP1001X | Internal Medicine | Pulmonary Disease | | | No |
| 7 | 207RG0100X | Internal Medicine | Gastroenterology | | | No |
| 8 | 207RH0002X | Internal Medicine | Hospice and Palliative Medicine | | | No |
| 9 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | | No |
| 10 | 207X00000X | Orthopaedic Surgery | | | | No |
| 11 | 208000000X | Pediatrics | | | | No |
| 12 | 2084N0400X | Psychiatry & Neurology | Neurology | | | No |
| 13 | 2086S0129X | Surgery | Vascular Surgery | | | No |
| 14 | 2086X0206X | Surgery | Surgical Oncology | | | No |
| 15 | 207Q00000X | Family Medicine | | | | Yes |