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 | 174400000X | Specialist | | D0042019 | MARYLAND | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1114986 | OTHER | MARYLAND | AETNA HMO |
| 2 | 187126 | OTHER | VIRGINIA | ANTHEM BLUE CROSS |
| 3 | 1936481 | OTHER | MARYLAND | UNITED HEALTHCARE |
| 4 | 5702 | OTHER | MARYLAND | ELDER HEALTH |
| 5 | 1854746 | MEDICAID | NEW YORK | |
| 6 | N1510001 | OTHER | DISTRICT OF COLUMBIA | BLUE CROSS FEDERAL |
| 7 | 099956794A | MEDICAID | GEORGIA | |
| 8 | 770390 | OTHER | MARYLAND | NATIONAL CAPITAL PPO |
| 9 | 459053 | OTHER | MARYLAND | MAMSI |
| 10 | 7615904 | MEDICAID | NORTH CAROLINA | |
| 11 | 9200849 | OTHER | MARYLAND | AMERICHOICE |
| 12 | 027476300 | MEDICAID | DISTRICT OF COLUMBIA | |
| 13 | 244618 | OTHER | VIRGINIA | BLUE CROSS OF TRIGON |
| 14 | 328881100 | MEDICAID | MARYLAND | |
| 15 | 88624 | OTHER | MARYLAND | AMERIGROUP |
| 16 | P00288291 | OTHER | MARYLAND | RAILROAD |
| 17 | 4564479 | OTHER | MARYLAND | AETNA OTHER |
| 18 | 92-00121 | OTHER | MARYLAND | EVERCARE |
| 19 | 4410647001 | OTHER | MARYLAND | CIGNA |
| 20 | $$$$$$$$$ | OTHER | MARYLAND | TRICARE |
| 21 | 0178052 | OTHER | MARYLAND | GHI |
| 22 | 459053 | OTHER | MARYLAND | ALLIANCE |
| 23 | 1013393 | OTHER | MARYLAND | COVENTRY |
| 24 | 494016 | OTHER | MARYLAND | US HEALTHCARE |
| 25 | 61077802 | OTHER | MARYLAND | BLUE CROSS OF MARYLAND |
| 26 | 88624 | OTHER | MARYLAND | AMERICAID |