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 | 1223S0112X | Dentist | Oral and Maxillofacial Surgery | | | No |
| 2 | 204F00000X | Transplant Surgery | | | | No |
| 3 | 207LP2900X | Anesthesiology | Pain Medicine | | | No |
| 4 | 207ND0900X | Dermatology | Dermatopathology | | | No |
| 5 | 207QG0300X | Family Medicine | Geriatric Medicine | | | No |
| 6 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | | No |
| 7 | 207RG0100X | Internal Medicine | Gastroenterology | | | No |
| 8 | 207RH0003X | Internal Medicine | Hematology & Oncology | | | No |
| 9 | 207RN0300X | Internal Medicine | Nephrology | | | No |
| 10 | 207VM0101X | Obstetrics & Gynecology | Maternal & Fetal Medicine | | | No |
| 11 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | | | No |
| 12 | 2085R0202X | Radiology | Diagnostic Radiology | | | No |
| 13 | 208M00000X | Hospitalist | | | | No |
| 14 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 15 | 207R00000X | Internal Medicine | | | | Yes |