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 | 207XS0106X | Orthopaedic Surgery | Hand Surgery | | | No |
| 2 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | | | No |
| 3 | 207XX0004X | Orthopaedic Surgery | Foot and Ankle Surgery | | | No |
| 4 | 207XX0005X | Orthopaedic Surgery | Sports Medicine | | | No |
| 5 | 208100000X | Physical Medicine & Rehabilitation | | | | No |
| 6 | 2085R0202X | Radiology | Diagnostic Radiology | | | No |
| 7 | 213ES0103X | Podiatrist | Foot & Ankle Surgery | | | No |
| 8 | 213ES0131X | Podiatrist | Foot Surgery | | | No |
| 9 | 332B00000X | Durable Medical Equipment & Medical Supplies | | | | No |
| 10 | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | | | | No |
| 11 | 363A00000X | Physician Assistant | | | | No |
| 12 | 363AM0700X | Physician Assistant | Medical | | | No |
| 13 | 363AS0400X | Physician Assistant | Surgical | | | No |
| 14 | 363L00000X | Nurse Practitioner | | | | No |
| 15 | 207X00000X | Orthopaedic Surgery | | | | Yes |