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 | 213ES0131X | Podiatrist | Foot Surgery | 01457 | MARYLAND | 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 | 201922 | OTHER | MARYLAND | JOHN HOPKINS/PRIORITY PARTNERS, UNIFORMED SERVICES FAMILY HEALTH/EMPLOYER HEALTH |
| 2 | D364 | OTHER | MARYLAND | GHMSI- BLUE CROSS BLUE SHIELD |
| 3 | 415343000 | MEDICAID | MARYLAND | |
| 4 | 6131880003 | MEDICARE NSC | MARYLAND | |
| 5 | 018750060 | OTHER | MARYLAND | MARYLAND PHYSICIAN CARE |
| 6 | 3175526 | OTHER | MARYLAND | UNITED HEALTH CARE |
| 7 | P00645864 AND DN9160 | OTHER | MARYLAND | RAILROAD MEDICARE |
| 8 | 002XD | OTHER | MARYLAND | BLUE CROSS BLUE SHIELD |
| 9 | 7278 | OTHER | MARYLAND | BRAVO/ELDER HEALTH |
| 10 | 128704 | MEDICARE UPIN | MARYLAND | |
