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 | 171000000X | Military Health Care Provider | | 02003560A | INDIANA | No |
2 | 207QA0505X | Family Medicine | Adult Medicine | 02003560A | INDIANA | No |
3 | 207R00000X | Internal Medicine | | 02003560A | INDIANA | No |
4 | 2083P0500X | Preventive Medicine | Preventive Medicine/Occupational Environmental Medicine | 02003560A | INDIANA | No |
5 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | 02003560A | INDIANA | No |
6 | 2083S0010X | Preventive Medicine | Sports Medicine | 02003560A | INDIANA | No |
7 | 208D00000X | General Practice | | 02003560A | INDIANA | No |
8 | 2083X0100X | Preventive Medicine | Occupational Medicine | 02003560A | INDIANA | Yes |