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 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | | No |
| 2 | 207RE0101X | Internal Medicine | Endocrinology, Diabetes & Metabolism | | | No |
| 3 | 207RG0100X | Internal Medicine | Gastroenterology | | | No |
| 4 | 207RH0003X | Internal Medicine | Hematology & Oncology | | | No |
| 5 | 207RI0011X | Internal Medicine | Interventional Cardiology | | | No |
| 6 | 207RI0200X | Internal Medicine | Infectious Disease | | | No |
| 7 | 207V00000X | Obstetrics & Gynecology | | | | No |
| 8 | 207VM0101X | Obstetrics & Gynecology | Maternal & Fetal Medicine | | | No |
| 9 | 207ZP0102X | Pathology | Anatomic Pathology & Clinical Pathology | | | No |
| 10 | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | | | | No |
| 11 | 208M00000X | Hospitalist | | | | No |
| 12 | 363L00000X | Nurse Practitioner | | | | No |
| 13 | 367500000X | Nurse Anesthetist, Certified Registered | | | | No |
| 14 | 207Q00000X | Family Medicine | | | | Yes |