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 | 207ZC0500X | Pathology | Cytopathology | | | No |
| 2 | 207ZH0000X | Pathology | Hematology | | | No |
| 3 | 207ZM0300X | Pathology | Medical Microbiology | | | No |
| 4 | 207ZP0101X | Pathology | Anatomic Pathology | | | No |
| 5 | 207ZP0102X | Pathology | Anatomic Pathology & Clinical Pathology | | | No |
| 6 | 207ZP0105X | Pathology | Clinical Pathology/Laboratory Medicine | | | No |
| 7 | 208600000X | Surgery | | | | No |
| 8 | 261Q00000X | Clinic/Center | | HOS00122 | RHODE ISLAND | No |
| 9 | 363AM0700X | Physician Assistant | Medical | | | No |
| 10 | 363AS0400X | Physician Assistant | Surgical | | | No |
| 11 | 363L00000X | Nurse Practitioner | | | | No |
| 12 | 363LA2200X | Nurse Practitioner | Adult Health | | | No |
| 13 | 261QM1300X | Clinic/Center | Multi-Specialty | | | Yes |
