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 | 363LA2100X | Nurse Practitioner | Acute Care | NP05760 | OHIO | 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 | 1568632628 | OTHER | OHIO | HEART RYTHM ASSOCIATES TYPE 2 NPI # |
| 2 | 9384101 | OTHER | OHIO | HEART RYTHM ASSOCIATES MEDICARE GROUP # |
| 3 | 1841239274 | OTHER | OHIO | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # |
| 4 | H421990 | MEDICARE PIN | OHIO | |
| 5 | 2551671 | OTHER | OHIO | PARTNERS PHYSICIAN GROUP MEDICAID GROUP # |
| 6 | 2957886 | OTHER | OHIO | HEART RYTHM ASSOCIATES MEDICAID GROUP # |
| 7 | 9338635 | OTHER | OHIO | PARTNERS PHYSICIAN GROUP MEDICARE GROUP # |
| 8 | Q35262 | MEDICARE UPIN | OHIO | |
| 9 | 2535859 | MEDICAID | OHIO | |
| 10 | H421991 | MEDICARE PIN | OHIO | |
| 11 | NP18294 | MEDICARE PIN | OHIO | |
