This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Point of Service | 305S00000X |
| Exclusive Provider Organization | 302F00000X | |
| Health Maintenance Organization | 302R00000X | |
| Preferred Provider Organization | 305R00000X |
* Indicates primary specialty
| NPI Number | 1124035324 |
| Credentials | MD |
| Entity | Individual |
| Enumeration date | 08/01/2006 |
| Last updated | 09/11/2025 - About 9 months ago |
| Sole proprietor1 | Yes |
| Identifiers |
|
| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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