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 | 2085R0202X | Radiology | Diagnostic Radiology | | | No |
| 2 | 207R00000X | Internal Medicine | | | OKLAHOMA | No |
| 3 | 208M00000X | Hospitalist | | | OKLAHOMA | No |
| 4 | 204F00000X | Transplant Surgery | | | OKLAHOMA | No |
| 5 | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | | | OKLAHOMA | No |
| 6 | 208600000X | Surgery | | | OKLAHOMA | No |
| 7 | 207Q00000X | Family Medicine | | | OKLAHOMA | No |
| 8 | 207RG0100X | Internal Medicine | Gastroenterology | | OKLAHOMA | No |
| 9 | 207RE0101X | Internal Medicine | Endocrinology, Diabetes & Metabolism | | OKLAHOMA | No |
| 10 | 207RI0011X | Internal Medicine | Interventional Cardiology | | OKLAHOMA | No |
| 11 | 207LP2900X | Anesthesiology | Pain Medicine | | OKLAHOMA | No |
| 12 | 2086S0129X | Surgery | Vascular Surgery | | OKLAHOMA | No |
| 13 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | OKLAHOMA | Yes |
