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 | 207T00000X | Neurological Surgery | | | | No |
| 2 | 207VF0040X | Obstetrics & Gynecology | Urogynecology and Reconstructive Pelvic Surgery | | | No |
| 3 | 207XP3100X | Orthopaedic Surgery | Pediatric Orthopaedic Surgery | | | No |
| 4 | 207XS0114X | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery | | | No |
| 5 | 2082S0105X | Plastic Surgery | Surgery of the Hand | | | No |
| 6 | 208600000X | Surgery | | | | No |
| 7 | 2086S0127X | Surgery | Trauma Surgery | | | No |
| 8 | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | | | | No |
| 9 | 246ZC0007X | Specialist/Technologist, Other | Surgical Assistant | | | Yes |