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 | 1041C0700X | Social Worker | Clinical | | | No |
| 2 | 207P00000X | Emergency Medicine | | | | No |
| 3 | 207V00000X | Obstetrics & Gynecology | | | | No |
| 4 | 208000000X | Pediatrics | | | | No |
| 5 | 208600000X | Surgery | | | | No |
| 6 | 207QA0401X | Family Medicine | Addiction Medicine | | | No |
| 7 | 207QH0002X | Family Medicine | Hospice and Palliative Medicine | | | No |
| 8 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | | No |
| 9 | 207RG0100X | Internal Medicine | Gastroenterology | | | No |
| 10 | 207RH0003X | Internal Medicine | Hematology & Oncology | | | No |
| 11 | 207RI0011X | Internal Medicine | Interventional Cardiology | | | No |
| 12 | 207RX0202X | Internal Medicine | Medical Oncology | | | No |
| 13 | 207T00000X | Neurological Surgery | | | | No |
| 14 | 207UN0901X | Nuclear Medicine | Nuclear Cardiology | | | No |
| 15 | 207R00000X | Internal Medicine | | | | Yes |