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 | 207LC0200X | Anesthesiology | Critical Care Medicine | | | No |
| 2 | 207Q00000X | Family Medicine | | | | No |
| 3 | 208D00000X | General Practice | | | | No |
| 4 | 207R00000X | Internal Medicine | | | | No |
| 5 | 207T00000X | Neurological Surgery | | | | No |
| 6 | 209800000X | Legal Medicine | | | | No |
| 7 | 207V00000X | Obstetrics & Gynecology | | | | No |
| 8 | 207W00000X | Ophthalmology | | | | No |
| 9 | 207Y00000X | Otolaryngology | | | | No |
| 10 | 208VP0000X | Pain Medicine | Pain Medicine | | | No |
| 11 | 208100000X | Physical Medicine & Rehabilitation | | | | No |
| 12 | 2084B0040X | Psychiatry & Neurology | Behavioral Neurology & Neuropsychiatry | | | No |
| 13 | 2085B0100X | Radiology | Body Imaging | | | No |
| 14 | 208600000X | Surgery | | | | No |
| 15 | 207X00000X | Orthopaedic Surgery | | | | Yes |