| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Physical Medicine & Rehabilitation |
| DEFINITION | A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| AREA OF SPECIALIZATION | Pain Medicine |
| STATUS | Active |
| VA CODE | V182601 |
| X12 CODE | 2081P2900X |
| SPECIALTY CODE | 25 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5251931 |
| EFFECTIVE DATE/TIME |
|