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 | 207X00000X | Orthopaedic Surgery | | | | No |
2 | 208600000X | Surgery | | | | Yes |
3 | 2086S0102X | Surgery | Surgical Critical Care | | | No |
4 | 2086S0122X | Surgery | Plastic and Reconstructive Surgery | | | No |
5 | 2086S0127X | Surgery | Trauma Surgery | | | No |
6 | 2086S0129X | Surgery | Vascular Surgery | | | No |
7 | 2086X0206X | Surgery | Surgical Oncology | | | No |
8 | 208800000X | Urology | | | | No |
9 | 363A00000X | Physician Assistant | | | | No |
10 | 363AM0700X | Physician Assistant | Medical | | | No |
11 | 363AS0400X | Physician Assistant | Surgical | | | No |
12 | 363L00000X | Nurse Practitioner | | | | No |
13 | 364SM0705X | Clinical Nurse Specialist | Medical-Surgical | | | No |
14 | 2088F0040X | Urology | Urogynecology and Reconstructive Pelvic Surgery | | | No |