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 | 207XS0106X | Orthopaedic Surgery | Hand Surgery | | | No |
| 2 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | | | No |
| 3 | 207XX0005X | Orthopaedic Surgery | Sports Medicine | | | No |
| 4 | 207X00000X | Orthopaedic Surgery | | 22538 | NORTH CAROLINA | No |
| 5 | 207QS0010X | Family Medicine | Sports Medicine | | | No |
| 6 | 207R00000X | Internal Medicine | | | | No |
| 7 | 208600000X | Surgery | | | | No |
| 8 | 208000000X | Pediatrics | | | | No |
| 9 | 2080N0001X | Pediatrics | Neonatal-Perinatal Medicine | | | No |
| 10 | 208100000X | Physical Medicine & Rehabilitation | | | | No |
| 11 | 363A00000X | Physician Assistant | | | | No |
| 12 | 363L00000X | Nurse Practitioner | | | | No |
| 13 | 207Q00000X | Family Medicine | | | | Yes |
