| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Emergency Medicine |
| DEFINITION | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| AREA OF SPECIALIZATION | Emergency Medical Services |
| STATUS | Active |
| VA CODE | V180601 |
| X12 CODE | 207PE0004X |
| SPECIALTY CODE | 93 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5251580 |
| EFFECTIVE DATE/TIME |
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