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 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | | | No |
| 2 | 207XX0005X | Orthopaedic Surgery | Sports Medicine | | | No |
| 3 | 363AS0400X | Physician Assistant | Surgical | | | No |
| 4 | 2082S0105X | Plastic Surgery | Surgery of the Hand | | | No |
| 5 | 363LF0000X | Nurse Practitioner | Family | | | No |
| 6 | 208600000X | Surgery | | | | No |
| 7 | 2086S0105X | Surgery | Surgery of the Hand | | | No |
| 8 | 213ES0103X | Podiatrist | Foot & Ankle Surgery | | | No |
| 9 | 363L00000X | Nurse Practitioner | | | | No |
| 10 | 208100000X | Physical Medicine & Rehabilitation | | | | No |
| 11 | 363LA2100X | Nurse Practitioner | Acute Care | | | No |
| 12 | 363A00000X | Physician Assistant | | | | No |
| 13 | 207X00000X | Orthopaedic Surgery | | | | Yes |