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 | 207L00000X | Anesthesiology | | | | No |
| 2 | 207LP2900X | Anesthesiology | Pain Medicine | | | Yes |
| 3 | 207P00000X | Emergency Medicine | | | | No |
| 4 | 207PP0204X | Emergency Medicine | Pediatric Emergency Medicine | | | No |
| 5 | 207Q00000X | Family Medicine | | | | No |
| 6 | 207R00000X | Internal Medicine | | | | No |
| 7 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | | No |
| 8 | 207X00000X | Orthopaedic Surgery | | | | No |
| 9 | 208000000X | Pediatrics | | | | No |
| 10 | 2080P0204X | Pediatrics | Pediatric Emergency Medicine | | | No |
| 11 | 2084N0400X | Psychiatry & Neurology | Neurology | | | No |
| 12 | 208D00000X | General Practice | | | | No |
| 13 | 208M00000X | Hospitalist | | | | No |
| 14 | 363LC0200X | Nurse Practitioner | Critical Care Medicine | | | No |
| 15 | 363LF0000X | Nurse Practitioner | Family | | | No |