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 | 213ES0103X | Podiatrist | Foot & Ankle Surgery | 1767 | MASSACHUSETTS | 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 | 0362093 | OTHER | | MEDICAID/WELFARE |
| 2 | 7042342 | OTHER | | AETNA/US HEALTHCARE |
| 3 | 785949 | OTHER | | MVP HEALTH CARE |
| 4 | Y70847 | OTHER | | MEDICARE B |
| 5 | 042472266 | OTHER | | PRIVATE HEALTHCARE SYSTEM |
| 6 | 4886875 | OTHER | | CIGNA PAL ID |
| 7 | AA2838 | OTHER | | HARVARD PILGRIM HEALTHCAR |
| 8 | Y70910 | OTHER | | BLUE SHIELD INDEMNITY |
| 9 | 042472266 | OTHER | | TRICARE/CHAMPUS |
| 10 | 042472266 | OTHER | | THREE RIVERS |
| 11 | 26734 | OTHER | | HEALTHY START |
| 12 | 965657 | OTHER | | FIRST HEALTH |
| 13 | 480026268 | OTHER | | RAILROAD MEDICARE |
| 14 | 042472266 | OTHER | | ONE HEALTH PLAN |
| 15 | 26734 | OTHER | | CHILDRENS MED SECURITY PL |
| 16 | 9900050 | OTHER | | FALLON COMMUNITY HLTH PL |
| 17 | Y70910 | OTHER | | BLUE CARE ELECT |
| 18 | Y70910 | OTHER | | BLUE SHIELD HMO BLUE |
