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 | 2084N0400X | Psychiatry & Neurology | Neurology | 39880 | KENTUCKY | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 000000616417 | OTHER | KENTUCKY | ANTHEM- NORTON NEUROLOGY SERVICES |
| 2 | 200945080 | OTHER | KENTUCKY | ANTHEM INDIANA MEDICAID- NORTON NEUROLOGY SERVICES |
| 3 | P00726832 | OTHER | KENTUCKY | RAILROAD MEDICARE- NORTON NEUROLOGY SERVICES |
| 4 | 104844 | OTHER | KENTUCKY | SIHO- NORTON NEUROLOGY SERVICES |
| 5 | 200945080 | OTHER | KENTUCKY | HEALTHY INDIANA PLAN- NORTON NEUROLOGY SERVICES |
| 6 | 3715318000 | OTHER | KENTUCKY | PASSPORT ADVANTAGE- NORTON NEUROLOGY SERVICES |
| 7 | 00533132 | OTHER | KENTUCKY | MEDICARE KY- NORTON NEUROLOGY SERVICES |
| 8 | 200945080 | OTHER | KENTUCKY | MD WISE- NORTON NEUROLOGY SERVICES |
| 9 | 200945080 | OTHER | KENTUCKY | MANAGED HEALTH SERVICES- NORTON NEUROLOGY SERVICES |
| 10 | 50023957 | OTHER | KENTUCKY | PASSPORT- NORTON NEUROLOGY SERVICES |
| 11 | 000023036M | OTHER | KENTUCKY | HUMANA- NORTON NEUROLOGY SERVICES |
| 12 | 200945080 | OTHER | INDIANA | MEDICAID- NORTON NEUROLOGY SERVICES |
| 13 | 4021564 | OTHER | KENTUCKY | CIGNA- NORTON NEUROLOGY SERVICES |
| 14 | 7100080400 | MEDICAID | KENTUCKY | |
