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 | 207Y00000X | Otolaryngology | | | | No |
| 2 | 207YS0123X | Otolaryngology | Facial Plastic Surgery | | | No |
| 3 | 207YX0007X | Otolaryngology | Plastic Surgery within the Head & Neck | | | No |
| 4 | 207YX0602X | Otolaryngology | Otolaryngic Allergy | | | No |
| 5 | 207YX0905X | Otolaryngology | Otolaryngology/Facial Plastic Surgery | | | No |
| 6 | 208200000X | Plastic Surgery | | | | No |
| 7 | 2086S0122X | Surgery | Plastic and Reconstructive Surgery | | | No |
| 8 | 208VP0014X | Pain Medicine | Interventional Pain Medicine | | | No |
| 9 | 367500000X | Nurse Anesthetist, Certified Registered | | | | No |
| 10 | 207L00000X | Anesthesiology | | | | No |
| 11 | 207LP2900X | Anesthesiology | Pain Medicine | | | No |
| 12 | 207Q00000X | Family Medicine | | | | No |
| 13 | 207KA0200X | Allergy & Immunology | Allergy | | | No |
| 14 | 207T00000X | Neurological Surgery | | | | Yes |