| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Psychiatry & Neurology |
| DEFINITION | A neurologist, child neurologists or psychiatrist 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 | V182910 |
| X12 CODE | 2084P2900X |
| SPECIALTY CODE | 86 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5252030 |
| EFFECTIVE DATE/TIME |
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