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 | 2085B0100X | Radiology | Body Imaging | 200800265 | NORTH CAROLINA | No |
| 2 | 2085D0003X | Radiology | Diagnostic Neuroimaging | 200800265 | NORTH CAROLINA | No |
| 3 | 2085N0700X | Radiology | Neuroradiology | 200800265 | NORTH CAROLINA | No |
| 4 | 2085N0904X | Radiology | Nuclear Radiology | 200800265 | NORTH CAROLINA | No |
| 5 | 2085P0229X | Radiology | Pediatric Radiology | 200800265 | NORTH CAROLINA | No |
| 6 | 2085R0202X | Radiology | Diagnostic Radiology | 200800265 | NORTH CAROLINA | No |
| 7 | 2085R0203X | Radiology | Therapeutic Radiology | 200800265 | NORTH CAROLINA | No |
| 8 | 2085R0204X | Radiology | Vascular & Interventional Radiology | MT190917 | PENNSYLVANIA | No |
| 9 | 2085R0204X | Radiology | Vascular & Interventional Radiology | 200800265 | NORTH CAROLINA | No |
| 10 | 2085R0205X | Radiology | Radiological Physics | 200800265 | NORTH CAROLINA | No |
| 11 | 2085U0001X | Radiology | Diagnostic Ultrasound | 200800265 | NORTH CAROLINA | No |
| 12 | 2085R0202X | Radiology | Diagnostic Radiology | 95234 | SOUTH CAROLINA | Yes |