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 | 207P00000X | Emergency Medicine | | | | No |
| 2 | 207Q00000X | Family Medicine | | | | No |
| 3 | 207R00000X | Internal Medicine | | | | No |
| 4 | 207X00000X | Orthopaedic Surgery | | | | Yes |
| 5 | 207XS0106X | Orthopaedic Surgery | Hand Surgery | | | No |
| 6 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | | | No |
| 7 | 208100000X | Physical Medicine & Rehabilitation | | | | No |
| 8 | 2085R0202X | Radiology | Diagnostic Radiology | | | No |
| 9 | 213E00000X | Podiatrist | | | | No |
| 10 | 225100000X | Physical Therapist | | | | No |
| 11 | 225X00000X | Occupational Therapist | | | | No |
| 12 | 363A00000X | Physician Assistant | | | | No |
| 13 | 363L00000X | Nurse Practitioner | | | | No |