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 | 207P00000X | Emergency Medicine | | 28236 | NEVADA | No |
| 2 | 207P00000X | Emergency Medicine | | 80917 | MINNESOTA | No |
| 3 | 208D00000X | General Practice | | 28236 | NEVADA | No |
| 4 | 207P00000X | Emergency Medicine | | 17850 | SOUTH DAKOTA | No |
| 5 | 207P00000X | Emergency Medicine | | MD-55839 | IOWA | No |
| 6 | 207P00000X | Emergency Medicine | | ME150171 | FLORIDA | No |
| 7 | 208D00000X | General Practice | | 80917 | MINNESOTA | No |
| 8 | 207P00000X | Emergency Medicine | | 35982 | MISSISSIPPI | No |
| 9 | 208D00000X | General Practice | | 89262 | SOUTH CAROLINA | No |
| 10 | 208D00000X | General Practice | | 17850 | SOUTH DAKOTA | No |
| 11 | 208D00000X | General Practice | | 35982 | MISSISSIPPI | No |
| 12 | 207P00000X | Emergency Medicine | | 89262 | SOUTH CAROLINA | Yes |
| 13 | 208D00000X | General Practice | | MD-55839 | IOWA | No |
| 14 | 208D00000X | General Practice | | 14341-320 | WISCONSIN | No |
| 15 | 208D00000X | General Practice | | ME150171 | FLORIDA | No |