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 | 261QS1200X | Clinic/Center | Sleep Disorder Diagnostic | | | No |
| 2 | 261QM2500X | Clinic/Center | Medical Specialty | | | No |
| 3 | 207RC0200X | Internal Medicine | Critical Care Medicine | | | No |
| 4 | 207RS0012X | Internal Medicine | Sleep Medicine | | | No |
| 5 | 207RP1001X | Internal Medicine | Pulmonary Disease | | | No |
| 6 | 363L00000X | Nurse Practitioner | | | | No |
| 7 | 2083P0011X | Preventive Medicine | Undersea and Hyperbaric Medicine | | | No |
| 8 | 363A00000X | Physician Assistant | | | | No |
| 9 | 207RI0200X | Internal Medicine | Infectious Disease | | | No |
| 10 | 207RE0101X | Internal Medicine | Endocrinology, Diabetes & Metabolism | | | Yes |