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 | 207Y00000X | Otolaryngology | | MD3439 | DISTRICT OF COLUMBIA | 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 | 3700 | OTHER | DISTRICT OF COLUMBIA | CAREFIRST BLUECROSS BLUE SHIELD |
| 2 | ========= | OTHER | DISTRICT OF COLUMBIA | ALLIANCE ONENET INSURANCE |
| 3 | ========= | OTHER | DISTRICT OF COLUMBIA | MAMSI HEALTH INSURANCE |
| 4 | ========= | OTHER | DISTRICT OF COLUMBIA | ASURANT HEALTH INSURANCE |
| 5 | ========= | OTHER | DISTRICT OF COLUMBIA | ASSOCIATION & SOCIETY HEALTH INSURANCE |
| 6 | ========= | OTHER | DISTRICT OF COLUMBIA | CORESOURCE INSURANCE |
| 7 | ========= | OTHER | DISTRICT OF COLUMBIA | AETNA HEALTH INSURANCE |
| 8 | ========= | OTHER | DISTRICT OF COLUMBIA | OPTIMUM CHOICE HEALTH INSURANCE |
| 9 | ========= | OTHER | DISTRICT OF COLUMBIA | NCAS HEALTH INSURANCE |
| 10 | ========= | OTHER | DISTRICT OF COLUMBIA | CIGNA HEALTH INSURANCE |
| 11 | ========= | OTHER | DISTRICT OF COLUMBIA | UNITED HEALTHCARE INS |
| 12 | ========= | OTHER | DISTRICT OF COLUMBIA | HEALTHLINK NCPPO INSURANCE |
| 13 | ========= | OTHER | DISTRICT OF COLUMBIA | GUARDIAN HEALTH INSURANCE |
| 14 | ========= | OTHER | DISTRICT OF COLUMBIA | TRICARE HEALTH INSURANCE |
| 15 | ========= | OTHER | DISTRICT OF COLUMBIA | GEHA HEALTH INSURANCE |
| 16 | 001037 | OTHER | DISTRICT OF COLUMBIA | ANTHEM BLUECROSS BLUESHIELD |
| 17 | ========= | OTHER | DISTRICT OF COLUMBIA | AARP UNITED HEALTHCARE INS CO |
| 18 | 409746 | MEDICARE PIN | DISTRICT OF COLUMBIA | |
