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 | 207Q00000X | Family Medicine | | | | No |
| 2 | 207R00000X | Internal Medicine | | | | Yes |
| 3 | 207RC0200X | Internal Medicine | Critical Care Medicine | | | No |
| 4 | 207RE0101X | Internal Medicine | Endocrinology, Diabetes & Metabolism | | | No |
| 5 | 207RH0003X | Internal Medicine | Hematology & Oncology | | | No |
| 6 | 207RI0200X | Internal Medicine | Infectious Disease | | | No |
| 7 | 207RP1001X | Internal Medicine | Pulmonary Disease | | | No |
| 8 | 207X00000X | Orthopaedic Surgery | | | | No |
| 9 | 207XS0106X | Orthopaedic Surgery | Hand Surgery | | | No |
| 10 | 207XS0114X | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery | | | No |
| 11 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | | | No |
| 12 | 207XX0005X | Orthopaedic Surgery | Sports Medicine | | | No |
| 13 | 207XX0801X | Orthopaedic Surgery | Orthopaedic Trauma | | | No |
| 14 | 207XP3100X | Orthopaedic Surgery | Pediatric Orthopaedic Surgery | | | No |
| 15 | 207QH0002X | Family Medicine | Hospice and Palliative Medicine | | | No |