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 | 208600000X | Surgery | | | | No |
| 2 | 208M00000X | Hospitalist | | | | No |
| 3 | 208000000X | Pediatrics | | | | No |
| 4 | 208100000X | Physical Medicine & Rehabilitation | | | | No |
| 5 | 207Q00000X | Family Medicine | | | | No |
| 6 | 207R00000X | Internal Medicine | | | | No |
| 7 | 207T00000X | Neurological Surgery | | | | No |
| 8 | 207U00000X | Nuclear Medicine | | | | No |
| 9 | 207V00000X | Obstetrics & Gynecology | | | | No |
| 10 | 207X00000X | Orthopaedic Surgery | | | | No |
| 11 | 207ZP0105X | Pathology | Clinical Pathology/Laboratory Medicine | | | No |
| 12 | 208200000X | Plastic Surgery | | | | No |
| 13 | 2084P0800X | Psychiatry & Neurology | Psychiatry | | | No |
| 14 | 2085U0001X | Radiology | Diagnostic Ultrasound | | | No |
| 15 | 282N00000X | General Acute Care Hospital | | | | Yes |