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 | 207L00000X | Anesthesiology | | 22388 | SOUTH CAROLINA | No |
| 2 | 207L00000X | Anesthesiology | | 25360 | KENTUCKY | No |
| 3 | 207L00000X | Anesthesiology | | 35079799M | OHIO | No |
| 4 | 207LP2900X | Anesthesiology | Pain Medicine | 16058 | WEST VIRGINIA | No |
| 5 | 207LP2900X | Anesthesiology | Pain Medicine | 35079799M | OHIO | No |
| 6 | 207LP2900X | Anesthesiology | Pain Medicine | 22388 | SOUTH CAROLINA | No |
| 7 | 207LP2900X | Anesthesiology | Pain Medicine | 25360 | KENTUCKY | No |
| 8 | 208VP0014X | Pain Medicine | Interventional Pain Medicine | 16058 | WEST VIRGINIA | No |
| 9 | 207L00000X | Anesthesiology | | 16058 | WEST VIRGINIA | Yes |