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 | 207LP2900X | Anesthesiology | Pain Medicine | | | No |
| 2 | 207QS0010X | Family Medicine | Sports Medicine | | | No |
| 3 | 207XS0106X | Orthopaedic Surgery | Hand Surgery | | | No |
| 4 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | | | No |
| 5 | 208100000X | Physical Medicine & Rehabilitation | | | | No |
| 6 | 213ES0103X | Podiatrist | Foot & Ankle Surgery | | | No |
| 7 | 207X00000X | Orthopaedic Surgery | | | | Yes |