{"aaData": [["1", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110000
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253521
\n", "
\n
\n\n
\n"], ["10", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Cardiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110600
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253554
\n", "
\n
\n\n
\n"], ["100", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neonatal-Perinatal Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114204
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253866
\n", "
\n
\n\n
\n"], ["1000", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Migrant Health
\n", "", "
Active
\n", "", "", "
261QM1000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252183
\n", "
\n
\n\n
\n"], ["1001", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\n"Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. \nIncludes initial "take home" pharmaceuticals.\n
\n
\n", "
Military Ambulatory Procedure Visits Operational (Transportable)
\n", "", "
Active
\n", "", "", "
261QM1103X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252195
\n", "
\n
\n\n
\n"], ["1002", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nThat part of a "fixed" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast \nGuard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals.\n
\n
\n", "
Military and U.S. Coast Guard Ambulatory Procedure
\n", "", "
Active
\n", "", "", "
261QM1101X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252189
\n", "
\n
\n\n
\n"], ["1003", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\n"Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty \nmay receive services from this entity. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. "Non-fixed" facilities include outpatient services furnished onboard \nships. "Non-fixed" facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.\n
\n
\n", "
Military Outpatient Operational (Transportable) Component
\n", "", "
Active
\n", "", "", "
261QM1102X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252192
\n", "
\n
\n\n
\n"], ["1004", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nThe Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed \nfacility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory \nProcedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.\n
\n
\n", "
Military/U.S. Coast Guard Outpatient
\n", "", "
Active
\n", "", "", "
261QM1100X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252186
\n", "
\n
\n\n
\n"], ["1005", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Multi-Specialty
\n", "", "
Active
\n", "", "", "
261QM1300X
\n", "", "
70
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252201
\n", "
\n
\n\n
\n"], ["1006", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Occupational Medicine
\n", "", "
Active
\n", "", "", "
261QX0100X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252285
\n", "
\n
\n\n
\n"], ["1007", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nAn entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.\n
\n
\n", "
Oncology
\n", "", "
Active
\n", "", "", "
261QX0200X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252288
\n", "
\n
\n\n
\n"], ["1008", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Oncology, Radiation
\n", "", "
Active
\n", "", "", "
261QX0203X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252291
\n", "
\n
\n\n
\n"], ["1009", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Ophthalmologic Surgery
\n", "", "
Active
\n", "", "", "
261QS0132X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252270
\n", "
\n
\n\n
\n"], ["101", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Cardiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114205
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253869
\n", "
\n
\n\n
\n"], ["1010", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.\n
\n
\n", "
Oral and Maxillofacial Surgery
\n", "", "
Active
\n", "", "", "
261QS0112X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252267
\n", "
\n
\n\n
\n"], ["1011", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Pain
\n", "", "
Active
\n", "", "", "
261QP3300X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252231
\n", "
\n
\n\n
\n"], ["1012", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical \napplications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals \nmaintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, \nactivity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, \nneuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.\n
\n
\n", "
Physical Therapy
\n", "", "
Active
\n", "", "", "
261QP2000X
\n", "", "
70
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252222
\n", "
\n
\n\n
\n"], ["1013", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Podiatric
\n", "", "
Active
\n", "", "", "
261QP1100X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252219
\n", "
\n
\n\n
\n"], ["1014", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Primary Care
\n", "", "
Active
\n", "", "", "
261QP2300X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252225
\n", "
\n
\n\n
\n"], ["1015", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Prison Health
\n", "", "
Active
\n", "", "", "
261QP2400X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252228
\n", "
\n
\n\n
\n"], ["1016", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Public Health, Federal
\n", "", "
Active
\n", "", "", "
261QP0904X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252213
\n", "
\n
\n\n
\n"], ["1017", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Public Health, State or Local
\n", "", "
Active
\n", "", "", "
261QP0905X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252216
\n", "
\n
\n\n
\n"], ["1018", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Radiology
\n", "", "
Active
\n", "", "", "
261QR0200X
\n", "", "
74
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252234
\n", "
\n
\n\n
\n"], ["1019", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Radiology, Mammography
\n", "", "
Active
\n", "", "", "
261QR0206X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252237
\n", "
\n
\n\n
\n"], ["102", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Critical Care Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114206
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253872
\n", "
\n
\n\n
\n"], ["1020", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Radiology, Mobile
\n", "", "
Active
\n", "", "", "
261QR0208X
\n", "", "
45
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252243
\n", "
\n
\n\n
\n"], ["1021", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Radiology, Mobile Mammography
\n", "", "
Active
\n", "", "", "
261QR0207X
\n", "", "
45
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252240
\n", "
\n
\n\n
\n"], ["1022", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Recovery Care
\n", "", "
Active
\n", "", "", "
261QR0800X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252258
\n", "
\n
\n\n
\n"], ["1023", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Rehabilitation
\n", "", "
Active
\n", "", "", "
261QR0400X
\n", "", "
B4
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252246
\n", "
\n
\n\n
\n"], ["1024", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Rehabilitation, Cardiac Facilities
\n", "", "
Active
\n", "", "", "
261QR0404X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252252
\n", "
\n
\n\n
\n"], ["1025", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
\n", "", "
Active
\n", "", "", "
261QR0401X
\n", "", "
B4
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252249
\n", "
\n
\n\n
\n"], ["1026", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Rehabilitation, Substance Use Disorder
\n", "", "
Active
\n", "", "", "
261QR0405X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252255
\n", "
\n
\n\n
\n"], ["1027", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Research
\n", "", "
Active
\n", "", "", "
261QR1100X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252261
\n", "
\n
\n\n
\n"], ["1028", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Rural Health
\n", "", "
Active
\n", "", "", "
261QR1300X
\n", "", "
B4
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252264
\n", "
\n
\n\n
\n"], ["1029", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Sleep Disorder Diagnostic
\n", "", "
Active
\n", "", "", "
261QS1200X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252276
\n", "
\n
\n\n
\n"], ["103", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Emergency Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114207
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253875
\n", "
\n
\n\n
\n"], ["1030", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Student Health
\n", "", "
Active
\n", "", "", "
261QS1000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252273
\n", "
\n
\n\n
\n"], ["1031", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Urgent Care
\n", "", "
Active
\n", "", "", "
261QU0200X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252279
\n", "
\n
\n\n
\n"], ["1032", "Hospital Units", "", "
Epilepsy Unit
\n", "", "
\nAn Epilepsy Unit is a distinct unit of a hospital that provides services that may include observation, urgent care, diagnostic testing, treatment, and medication management for patients with seizure disorders.\n
\n
\n", "", "", "
Active
\n", "", "", "
273100000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252654
\n", "
\n
\n\n
\n"], ["1033", "Hospital Units", "", "
Medicare Defined Swing Bed Unit
\n", "", "
\nA unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.\n
\n
\n", "", "", "
Active
\n", "", "", "
275N00000X
\n", "", "
A0
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252663
\n", "
\n
\n\n
\n"], ["1034", "Hospital Units", "", "
Psychiatric Unit
\n", "", "
\nIn general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders \nand approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting \nonly patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis \ncontained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The \nunit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of \nthe degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate \ninpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.\n
\n
\n", "", "", "
Active
\n", "", "", "
273R00000X
\n", "", "
A0
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252657
\n", "
\n
\n\n
\n"], ["1035", "Hospital Units", "", "
Rehabilitation Unit
\n", "", "
\nIn general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. \nSource: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission \nscreening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients \nreceive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic \nand prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated \nmultidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment , and that team conferences \nare held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed \nunder State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.\n
\n
\n", "", "", "
Active
\n", "", "", "
273Y00000X
\n", "", "
A0
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252660
\n", "
\n
\n\n
\n"], ["1036", "Hospital Units", "", "
Rehabilitation, Substance Use Disorder Unit
\n", "", "
\nA distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)\n
\n
\n", "", "", "
Active
\n", "", "", "
276400000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252666
\n", "
\n
\n\n
\n"], ["1037", "Hospitals", "", "
Christian Science Sanitorium
\n", "", "
\nInactive, use 282J00000X\n
\n
\n", "", "", "
Inactive
\n", "
2009-10-01 00:00:00
\n", "", "
287300000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252720
\n", "
\n
\n\n
\n"], ["1038", "Hospitals", "", "
Chronic Disease Hospital
\n", "", "
\n(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible \npathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized \ninpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing \nhomes.\n
\n
\n", "", "", "
Active
\n", "", "", "
281P00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252669
\n", "
\n
\n\n
\n"], ["1039", "Hospitals", "", "
Chronic Disease Hospital
\n", "", "", "
Children
\n", "", "
Active
\n", "", "", "
281PC2000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252672
\n", "
\n
\n\n
\n"], ["104", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Endocrinology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114208
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253878
\n", "
\n
\n\n
\n"], ["1040", "Hospitals", "", "
General Acute Care Hospital
\n", "", "", "
Children
\n", "", "
Active
\n", "", "", "
282NC2000X
\n", "", "
A0
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252687
\n", "
\n
\n\n
\n"], ["1041", "Hospitals", "", "
General Acute Care Hospital
\n", "", "", "
Critical Access
\n", "", "
Active
\n", "", "", "
282NC0060X
\n", "", "
A0
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252684
\n", "
\n
\n\n
\n"], ["1042", "Hospitals", "", "
General Acute Care Hospital
\n", "", "", "
Rural
\n", "", "
Active
\n", "", "", "
282NR1301X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252690
\n", "
\n
\n\n
\n"], ["1043", "Hospitals", "", "
General Acute Care Hospital
\n", "", "", "
Women
\n", "", "
Active
\n", "", "", "
282NW0100X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252693
\n", "
\n
\n\n
\n"], ["1044", "Hospitals", "", "
Long Term Care Hospital
\n", "", "
\nLong-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.\n
\n
\n", "", "", "
Active
\n", "", "", "
282E00000X
\n", "", "
A0
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252675
\n", "
\n
\n\n
\n"], ["1045", "Hospitals", "", "
Military Hospital
\n", "", "
\nA health care facility operated by the Department of Defense.\n
\n
\n", "", "", "
Active
\n", "", "", "
286500000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252708
\n", "
\n
\n\n
\n"], ["1046", "Hospitals", "", "
Military Hospital
\n", "", "", "
Community Health
\n", "", "
Inactive
\n", "
2005-04-01 00:00:00
\n", "", "
2865C1500X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252711
\n", "
\n
\n\n
\n"], ["1047", "Hospitals", "", "
Military Hospital
\n", "", "
\nA Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed \nfacility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually \nincluded in a Diagnosis Related Group as well as "pass-through" items.\n
\n
\n", "
Military General Acute Care Hospital
\n", "", "
Active
\n", "", "", "
2865M2000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252714
\n", "
\n
\n\n
\n"], ["1048", "Hospitals", "", "
Military Hospital
\n", "", "
\nA Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "non-fixed" or deployed facilities. Entity is not Defense Health Program funded. Services are primarily intended for DoD active duty though some \nservices may be furnished for non-DoD active duty. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. "Non-fixed" facilities include hospital ships.\n
\n
\n", "
Military General Acute Care Hospital. Operational (Transportable)
\n", "", "
Active
\n", "", "", "
2865X1600X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252717
\n", "
\n
\n\n
\n"], ["1049", "Hospitals", "", "
Psychiatric Hospital
\n", "", "
\nAn organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.\n
\n
\n", "", "", "
Active
\n", "", "", "
283Q00000X
\n", "", "
A0
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252696
\n", "
\n
\n\n
\n"], ["105", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Gastroenterology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114209
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253881
\n", "
\n
\n\n
\n"], ["1050", "Hospitals", "", "
Rehabilitation Hospital
\n", "", "
\nA hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.\n
\n
\n", "", "", "
Active
\n", "", "", "
283X00000X
\n", "", "
A0
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252699
\n", "
\n
\n\n
\n"], ["1051", "Hospitals", "", "
Rehabilitation Hospital
\n", "", "", "
Children
\n", "", "
Active
\n", "", "", "
283XC2000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252702
\n", "
\n
\n\n
\n"], ["1052", "Hospitals", "", "
Religious Nonmedical Health Care Institution
\n", "", "
\nFurnishes only nonmedical nursing items and services to patients who choose to rely solely upon a religious method of healing, and for whom the acceptance of medical services would be inconsistent with their religious beliefs. Furnishes nonmedical \nitems and services exclusively through nonmedical nursing personnel who are experienced in caring for the physical needs of nonmedical patients. For example, caring for the physical needs such as assistance with activities of daily living; assistance \nin moving, positioning, and ambulation; nutritional needs; and comfort and support measures. Furnishes nonmedical items and services to inpatients on a 24-hour basis. Does not furnish, on the basis of religious beliefs, through its personnel \nor otherwise, medical items and services (including any medical screening, examination, diagnosis, prognosis, treatment, or the administration of drugs) for its patients.\n
\n
\n", "", "", "
Active
\n", "", "", "
282J00000X
\n", "", "
B4
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252678
\n", "
\n
\n\n
\n"], ["1053", "Hospitals", "", "
Special Hospital
\n", "", "
\nA designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.\n
\n
\n", "", "", "
Active
\n", "", "", "
284300000X
\n", "", "
A0
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252705
\n", "
\n
\n\n
\n"], ["1054", "Laboratories", "", "
Clinical Medical Laboratory
\n", "", "
\n(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the \npurpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various \nsubstances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials \nfrom the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, \ncytology, bacteriology, histology, biochemistry, medical toxicology, and serology.\n
\n
\n", "", "", "
Active
\n", "", "", "
291U00000X
\n", "", "
69
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252726
\n", "
\n
\n\n
\n"], ["1055", "Laboratories", "", "
Dental Laboratory
\n", "", "
\nA commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.\n
\n
\n", "", "", "
Active
\n", "", "", "
292200000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252729
\n", "
\n
\n\n
\n"], ["1056", "Laboratories", "", "
Military Clinical Medical Laboratory
\n", "", "
\nA Department of Defense (DoD) medical clinical reference laboratory not associated with a DoD Hospital or DoD Clinic. An example is the Armed Forces Institute of Pathology.\n
\n
\n", "", "", "
Active
\n", "", "", "
291900000X
\n", "", "
B4
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252723
\n", "
\n
\n\n
\n"], ["1057", "Laboratories", "", "
Physiological Laboratory
\n", "", "
\nA laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. \nIf an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for \nphysiological services.\n
\n
\n", "", "", "
Active
\n", "", "", "
293D00000X
\n", "", "
47
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252732
\n", "
\n
\n\n
\n"], ["1058", "Managed Care Organizations", "", "
Exclusive Provider Organization
\n", "", "
\n(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage \nfor the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians \ndo not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they \nuse the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.\n
\n
\n", "", "", "
Active
\n", "", "", "
302F00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252735
\n", "
\n
\n\n
\n"], ["1059", "Managed Care Organizations", "", "
Health Maintenance Organization
\n", "", "
\n(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork \n(i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled \npopulation for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, \nand sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.\n
\n
\n", "", "", "
Active
\n", "", "", "
302R00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252738
\n", "
\n
\n\n
\n"], ["106", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Hematology Oncology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114210
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253884
\n", "
\n
\n\n
\n"], ["1060", "Managed Care Organizations", "", "
Point of Service
\n", "", "
\nThis 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.\n
\n
\n", "", "", "
Active
\n", "", "", "
305S00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252744
\n", "
\n
\n\n
\n"], ["1061", "Managed Care Organizations", "", "
Preferred Provider Organization
\n", "", "
\nA group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient \nreceives care at a lower benefit level.\n
\n
\n", "", "", "
Active
\n", "", "", "
305R00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252741
\n", "
\n
\n\n
\n"], ["1062", "Nursing & Custodial Care Facilities", "", "
Alzheimer Center (Dementia Center)
\n", "", "
\nA freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other \n(the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; \nA marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.\n
\n
\n", "", "", "
Active
\n", "", "", "
311500000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252759
\n", "
\n
\n\n
\n"], ["1063", "Nursing & Custodial Care Facilities", "", "
Assisted Living Facility
\n", "", "
\nA facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.\n
\n
\n", "", "", "
Active
\n", "", "", "
310400000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252747
\n", "
\n
\n\n
\n"], ["1064", "Nursing & Custodial Care Facilities", "", "
Assisted Living Facility
\n", "", "
\nA facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety \nand well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.\n
\n
\n", "
Assisted Living, Behavioral Disturbances
\n", "", "
Active
\n", "", "", "
3104A0630X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252753
\n", "
\n
\n\n
\n"], ["1065", "Nursing & Custodial Care Facilities", "", "
Assisted Living Facility
\n", "", "
\nA facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff \nwith special training in mental health training and dealing with psychiatric emergencies.\n
\n
\n", "
Assisted Living, Mental Illness
\n", "", "
Active
\n", "", "", "
3104A0625X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252750
\n", "
\n
\n\n
\n"], ["1066", "Nursing & Custodial Care Facilities", "", "
Christian Science Facility
\n", "", "
\nInactive, use 282J00000X\n
\n
\n", "", "", "
Inactive
\n", "
2009-10-01 00:00:00
\n", "", "
317400000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252783
\n", "
\n
\n\n
\n"], ["1067", "Nursing & Custodial Care Facilities", "", "
Custodial Care Facility
\n", "", "
\nA facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision \nof medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.\n
\n
\n", "", "", "
Active
\n", "", "", "
311Z00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252762
\n", "
\n
\n\n
\n"], ["1068", "Nursing & Custodial Care Facilities", "", "
Custodial Care Facility
\n", "", "
\nA custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like \nenvironment.\n
\n
\n", "
Adult Care Home
\n", "", "
Active
\n", "", "", "
311ZA0620X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252765
\n", "
\n
\n\n
\n"], ["1069", "Nursing & Custodial Care Facilities", "", "
Hospice, Inpatient
\n", "", "
\nA provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal \nneeds of terminally ill patients and their families where an institutional care environment is required for the patient.\n
\n
\n", "", "", "
Active
\n", "", "", "
315D00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252777
\n", "
\n
\n\n
\n"], ["107", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Infectious Diseases
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114211
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253887
\n", "
\n
\n\n
\n"], ["1070", "Nursing & Custodial Care Facilities", "", "
Intermediate Care Facility, Mental Illness
\n", "", "
\nA nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.\n
\n
\n", "", "", "
Active
\n", "", "", "
310500000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252756
\n", "
\n
\n\n
\n"], ["1071", "Nursing & Custodial Care Facilities", "", "
Intermediate Care Facility, Mentally Retarded
\n", "", "
\n(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose \nof the institution is to provide health or rehabilitative services to such individuals.\n
\n
\n", "", "", "
Active
\n", "", "", "
315P00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252780
\n", "
\n
\n\n
\n"], ["1072", "Nursing & Custodial Care Facilities", "", "
Nursing Facility/Intermediate Care Facility
\n", "", "
\nAn institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the \nrehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can \nbe made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.\n
\n
\n", "", "", "
Active
\n", "", "", "
313M00000X
\n", "", "
A3
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252768
\n", "
\n
\n\n
\n"], ["1073", "Nursing & Custodial Care Facilities", "", "
Skilled Nursing Facility
\n", "", "
\n(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring \nservices in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily \nliving. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring \nsubacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.\n
\n
\n", "", "", "
Active
\n", "", "", "
314000000X
\n", "", "
A1
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252771
\n", "
\n
\n\n
\n"], ["1074", "Nursing & Custodial Care Facilities", "", "
Skilled Nursing Facility
\n", "", "
\nA nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive \nenvironment.\n
\n
\n", "
Nursing Care, Pediatric
\n", "", "
Active
\n", "", "", "
3140N1450X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252774
\n", "
\n
\n\n
\n"], ["1075", "Residential Treatment Facilities", "", "
Community Based Residential Treatment Facility, Mental Illness
\n", "", "
\nA home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.\n
\n
\n", "", "", "
Active
\n", "", "", "
320800000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255051
\n", "
\n
\n\n
\n"], ["1076", "Residential Treatment Facilities", "", "
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
\n", "", "
\nA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities\n
\n
\n", "", "", "
Active
\n", "", "", "
320900000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255054
\n", "
\n
\n\n
\n"], ["1077", "Residential Treatment Facilities", "", "
Psychiatric Residential Treatment Facility
\n", "", "
\nA residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized \npsychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization \nof the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of \nmental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function \noutside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary\n
\n
\n", "", "", "
Active
\n", "", "", "
323P00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255060
\n", "
\n
\n\n
\n"], ["1078", "Residential Treatment Facilities", "", "
Residential Treatment Facility, Emotionally Disturbed Children
\n", "", "
\nA residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.\n
\n
\n", "", "", "
Active
\n", "", "", "
322D00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255057
\n", "
\n
\n\n
\n"], ["1079", "Residential Treatment Facilities", "", "
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
\n", "", "
\nA residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.\n
\n
\n", "", "", "
Active
\n", "", "", "
320600000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255045
\n", "
\n
\n\n
\n"], ["108", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Nephrology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114212
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253890
\n", "
\n
\n\n
\n"], ["1080", "Residential Treatment Facilities", "", "
Residential Treatment Facility, Physical Disabilities
\n", "", "
\nA residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.\n
\n
\n", "", "", "
Active
\n", "", "", "
320700000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255048
\n", "
\n
\n\n
\n"], ["1081", "Residential Treatment Facilities", "", "
Substance Abuse Rehabilitation Facility
\n", "", "
\nA facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.\n
\n
\n", "", "", "
Active
\n", "", "", "
324500000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255063
\n", "
\n
\n\n
\n"], ["1082", "Residential Treatment Facilities", "", "
Substance Abuse Rehabilitation Facility
\n", "", "
\nA facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and \nsupportive counseling services and education services are included.\n
\n
\n", "
Substance Abuse Treatment, Children
\n", "", "
Active
\n", "", "", "
3245S0500X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255066
\n", "
\n
\n\n
\n"], ["1083", "Respite Care Facility", "", "
Respite Care
\n", "", "", "", "", "
Active
\n", "", "", "
385H00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255414
\n", "
\n
\n\n
\n"], ["1084", "Respite Care Facility", "", "
Respite Care
\n", "", "
\nA camping facility that provides specialized respite care to individuals requiring enhanced services to enable them to remain in the community, (e.g., those with developmental delays, intellectual disabilities, mental/behavioral disorders). The staff \nmust have training in working with the target populations and dealing with emergency situations which might be related to or exacerbate the individual's condition.\n
\n
\n", "
Respite Care Camp
\n", "", "
Active
\n", "", "", "
385HR2050X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255417
\n", "
\n
\n\n
\n"], ["1085", "Respite Care Facility", "", "
Respite Care
\n", "", "
\nA facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.\n
\n
\n", "
Respite Care, Mental Illness, Child
\n", "", "
Active
\n", "", "", "
385HR2055X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255420
\n", "
\n
\n\n
\n"], ["1086", "Respite Care Facility", "", "
Respite Care
\n", "", "
\nA facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.\n
\n
\n", "
Respite Care, Intellectual and/or Developmental Disabilities
\n", "", "
Active
\n", "", "", "
385HR2060X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255423
\n", "
\n
\n\n
\n"], ["1087", "Respite Care Facility", "", "
Respite Care
\n", "", "
\nA facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.\n
\n
\n", "
Respite Care, Physical Disabilities, Child
\n", "", "
Active
\n", "", "", "
385HR2065X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255426
\n", "
\n
\n\n
\n"], ["1088", "Suppliers", "", "
Blood Bank
\n", "", "
\nAn institution (organization or distinct part thereof) that performs, or is responsible for the performance of, the collection, processing, storage and/or issuance of human blood and blood components, intended for transfusion. The institution may \nalso collect, process, and/or distribute human tissue, including bone marrow and peripheral blood progenitor cells, intended for transplantation.\n
\n
\n", "", "", "
Active
\n", "", "", "
331L00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255462
\n", "
\n
\n\n
\n"], ["1089", "Suppliers", "", "
Durable Medical Equipment & Medical Supplies
\n", "", "
\nA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.\n
\n
\n", "", "", "
Active
\n", "", "", "
332B00000X
\n", "", "
87
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255477
\n", "
\n
\n\n
\n"], ["109", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Pulmonology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114213
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253893
\n", "
\n
\n\n
\n"], ["1090", "Suppliers", "", "
Durable Medical Equipment & Medical Supplies
\n", "", "", "
Customized Equipment
\n", "", "
Active
\n", "", "", "
332BC3200X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255480
\n", "
\n
\n\n
\n"], ["1091", "Suppliers", "", "
Durable Medical Equipment & Medical Supplies
\n", "", "", "
Dialysis Equipment & Supplies
\n", "", "
Active
\n", "", "", "
332BD1200X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255483
\n", "
\n
\n\n
\n"], ["1092", "Suppliers", "", "
Durable Medical Equipment & Medical Supplies
\n", "", "", "
Nursing Facility Supplies
\n", "", "
Active
\n", "", "", "
332BN1400X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255486
\n", "
\n
\n\n
\n"], ["1093", "Suppliers", "", "
Durable Medical Equipment & Medical Supplies
\n", "", "", "
Oxygen Equipment & Supplies
\n", "", "
Active
\n", "", "", "
332BX2000X
\n", "", "
B1
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255492
\n", "
\n
\n\n
\n"], ["1094", "Suppliers", "", "
Durable Medical Equipment & Medical Supplies
\n", "", "", "
Parenteral & Enteral Nutrition
\n", "", "
Active
\n", "", "", "
332BP3500X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255489
\n", "
\n
\n\n
\n"], ["1095", "Suppliers", "", "
Emergency Response System Companies
\n", "", "
\nA supplier of a personal emergency response system (PERS), which is an electronic device that enables a patient to receive emergency assistance when needed. The PERS is one of two different methodologies of notification: (1) where the patient summons \nemergency assistance themselves directly through the device or (2) emergency assistance is summoned through secure activation by the caretaker/guardian, which sends the device location to emergency responders.\n
\n
\n", "", "", "
Active
\n", "", "", "
333300000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255507
\n", "
\n
\n\n
\n"], ["1096", "Suppliers", "", "
Eye Bank
\n", "", "
\nAn eye bank procures and distributes eyes for transplant, education and research. To promote patient safety, donated eyes and donor medial histories are evaluated based on strict Eye Bank Association of America Medical Standards\n
\n
\n", "", "", "
Active
\n", "", "", "
332G00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255495
\n", "
\n
\n\n
\n"], ["1097", "Suppliers", "", "
Eyewear Supplier
\n", "", "
\nAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.\n
\n
\n", "", "", "
Active
\n", "", "", "
332H00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255498
\n", "
\n
\n\n
\n"], ["1098", "Suppliers", "", "
Hearing Aid Equipment
\n", "", "
\nThe manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis.\n
\n
\n", "", "", "
Active
\n", "", "", "
332S00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255501
\n", "
\n
\n\n
\n"], ["1099", "Suppliers", "", "
Home Delivered Meals
\n", "", "
\nHome-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities \nmay include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral.\n
\n
\n", "", "", "
Active
\n", "", "", "
332U00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255504
\n", "
\n
\n\n
\n"], ["11", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Dermatology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110700
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253557
\n", "
\n
\n\n
\n"], ["110", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Rheumatology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114215
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253896
\n", "
\n
\n\n
\n"], ["1100", "Suppliers", "", "
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
\n", "", "
\nAn Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian \nHealth Care Improvement Act, 25 U.S.C. 1603.\n
\n
\n", "", "", "
Active
\n", "", "", "
332800000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255471
\n", "
\n
\n\n
\n"], ["1101", "Suppliers", "", "
Military/U.S. Coast Guard Pharmacy
\n", "", "
\nA Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. \nCoast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.\n
\n
\n", "", "", "
Active
\n", "", "", "
332000000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255465
\n", "
\n
\n\n
\n"], ["1102", "Suppliers", "", "
Non-Pharmacy Dispensing Site
\n", "", "
\nA site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)\n
\n
\n", "", "", "
Active
\n", "", "", "
332900000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255474
\n", "
\n
\n\n
\n"], ["1103", "Suppliers", "", "
Organ Procurement Organization
\n", "", "
\nA federally designated organization that works with hospital personnel in retrieval of organs for transplantation. The federal government designates an OPO's service area and the hospitals with which an OPO is to establish working relationships.\n
\n
\n", "", "", "
Active
\n", "", "", "
335U00000X
\n", "", "
B4
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255549
\n", "
\n
\n\n
\n"], ["1104", "Suppliers", "", "
Pharmacy
\n", "", "
\nA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription \ndrugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.\n
\n
\n", "", "", "
Active
\n", "", "", "
333600000X
\n", "", "
A5
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255510
\n", "
\n
\n\n
\n"], ["1105", "Suppliers", "", "
Pharmacy
\n", "", "
\nA pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.\n
\n
\n", "
Clinic Pharmacy
\n", "", "
Active
\n", "", "", "
3336C0002X
\n", "", "
A5
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255513
\n", "
\n
\n\n
\n"], ["1106", "Suppliers", "", "
Pharmacy
\n", "", "
\nA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing \nprocess); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, \nand education classes.\n
\n
\n", "
Community/Retail Pharmacy
\n", "", "
Active
\n", "", "", "
3336C0003X
\n", "", "
A5
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255516
\n", "
\n
\n\n
\n"], ["1107", "Suppliers", "", "
Pharmacy
\n", "", "
\nA pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. \nA compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.\n
\n
\n", "
Compounding Pharmacy
\n", "", "
Active
\n", "", "", "
3336C0004X
\n", "", "
A5
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255519
\n", "
\n
\n\n
\n"], ["1108", "Suppliers", "", "
Pharmacy
\n", "", "
\nPharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics \nand nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy \nand compliance.\n
\n
\n", "
Home Infusion Therapy Pharmacy
\n", "", "
Active
\n", "", "", "
3336H0001X
\n", "", "
A5
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255522
\n", "
\n
\n\n
\n"], ["1109", "Suppliers", "", "
Pharmacy
\n", "", "
\nA pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients \nand caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state \nmanagement, and education classes.\n
\n
\n", "
Institutional Pharmacy
\n", "", "
Active
\n", "", "", "
3336I0012X
\n", "", "
A5
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255525
\n", "
\n
\n\n
\n"], ["111", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Sports Medicine: Pediatrics
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114216
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253899
\n", "
\n
\n\n
\n"], ["1110", "Suppliers", "", "
Pharmacy
\n", "", "
\nA pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and \nother forms of congregate living arrangements.\n
\n
\n", "
Long Term Care Pharmacy
\n", "", "
Active
\n", "", "", "
3336L0003X
\n", "", "
A5
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255528
\n", "
\n
\n\n
\n"], ["1111", "Suppliers", "", "
Pharmacy
\n", "", "
\nA pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients \nand caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a \nMail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.\n
\n
\n", "
Mail Order Pharmacy
\n", "", "
Active
\n", "", "", "
3336M0002X
\n", "", "
A5
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255531
\n", "
\n
\n\n
\n"], ["1112", "Suppliers", "", "
Pharmacy
\n", "", "
\nA pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.\n
\n
\n", "
Managed Care Organization Pharmacy
\n", "", "
Active
\n", "", "", "
3336M0003X
\n", "", "
A5
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255534
\n", "
\n
\n\n
\n"], ["1113", "Suppliers", "", "
Pharmacy
\n", "", "
\nA pharmacy dedicated to the compounding and dispensing of radioactive materials for use in nuclear imaging and nuclear medical procedures.\n
\n
\n", "
Nuclear Pharmacy
\n", "", "
Active
\n", "", "", "
3336N0007X
\n", "", "
A5
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255537
\n", "
\n
\n\n
\n"], ["1114", "Suppliers", "", "
Pharmacy
\n", "", "
\nA pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require \nspecialized delivery and administration.\n
\n
\n", "
Specialty Pharmacy
\n", "", "
Active
\n", "", "", "
3336S0011X
\n", "", "
A5
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255540
\n", "
\n
\n\n
\n"], ["1115", "Suppliers", "", "
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
\n", "", "
\nA supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all \nstate and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.\n
\n
\n", "", "", "
Active
\n", "", "", "
335V00000X
\n", "", "
63
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255552
\n", "
\n
\n\n
\n"], ["1116", "Suppliers", "", "
Prosthetic/Orthotic Supplier
\n", "", "
\nAn organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological \nfunction and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.\n
\n
\n", "", "", "
Active
\n", "", "", "
335E00000X
\n", "", "
53
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255543
\n", "
\n
\n\n
\n"], ["1117", "Transportation Services", "", "
Ambulance
\n", "", "
\nAn emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).\n
\n
\n", "", "", "
Active
\n", "", "", "
341600000X
\n", "", "
59
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255969
\n", "
\n
\n\n
\n"], ["1118", "Transportation Services", "", "
Ambulance
\n", "", "", "
Air Transport
\n", "", "
Active
\n", "", "", "
3416A0800X
\n", "", "
59
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255972
\n", "
\n
\n\n
\n"], ["1119", "Transportation Services", "", "
Ambulance
\n", "", "", "
Land Transport
\n", "", "
Active
\n", "", "", "
3416L0300X
\n", "", "
59
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255975
\n", "
\n
\n\n
\n"], ["112", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pharmacology, Clinical
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114400
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253905
\n", "
\n
\n\n
\n"], ["1120", "Transportation Services", "", "
Ambulance
\n", "", "", "
Water Transport
\n", "", "
Active
\n", "", "", "
3416S0300X
\n", "", "
59
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255978
\n", "
\n
\n\n
\n"], ["1121", "Transportation Services", "", "
Bus
\n", "", "
\nA public or private organization or business licensed to provide bus services.\n
\n
\n", "", "", "
Active
\n", "", "", "
347B00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5256005
\n", "
\n
\n\n
\n"], ["1122", "Transportation Services", "", "
Military/U.S. Coast Guard Transport
\n", "", "", "", "", "
Active
\n", "", "", "
341800000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255981
\n", "
\n
\n\n
\n"], ["1123", "Transportation Services", "", "
Military/U.S. Coast Guard Transport
\n", "", "
\nVehicle and staff for patient emergency or non-emergency air transport.\n
\n
\n", "
Military or U.S. Coast Guard Ambulance, Air Transport
\n", "", "
Active
\n", "", "", "
3418M1120X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255987
\n", "
\n
\n\n
\n"], ["1124", "Transportation Services", "", "
Military/U.S. Coast Guard Transport
\n", "", "
\nVehicle and staff for patient emergency or non-emergency ground transport. Includes traditional ambulances as well as ambulance buses.\n
\n
\n", "
Military or U.S. Coast Guard Ambulance, Ground Transport
\n", "", "
Active
\n", "", "", "
3418M1110X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255984
\n", "
\n
\n\n
\n"], ["1125", "Transportation Services", "", "
Military/U.S. Coast Guard Transport
\n", "", "
\nVehicle and staff for patient emergency or non-emergency sea/water transport\n
\n
\n", "
Military or U.S. Coast Guard Ambulance, Water Transport
\n", "", "
Active
\n", "", "", "
3418M1130X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255990
\n", "
\n
\n\n
\n"], ["1126", "Transportation Services", "", "
Non-emergency Medical Transport (VAN)
\n", "", "
\nA land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.\n
\n
\n", "", "", "
Active
\n", "", "", "
343900000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255996
\n", "
\n
\n\n
\n"], ["1127", "Transportation Services", "", "
Private Vehicle
\n", "", "
\nAn individual paid to provide non-emergency transportation using their privately owned/leased vehicle.\n
\n
\n", "", "", "
Active
\n", "", "", "
347C00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5256008
\n", "
\n
\n\n
\n"], ["1128", "Transportation Services", "", "
Secured Medical Transport (VAN)
\n", "", "
\nA public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting \nfrom mental or emotional illness and/or substance abuse.\n
\n
\n", "", "", "
Active
\n", "", "", "
343800000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255993
\n", "
\n
\n\n
\n"], ["1129", "Transportation Services", "", "
Taxi
\n", "", "
\nA land commercial vehicle used for the transporting of persons in non-emergency situations. The vehicle meets local, county or state regulations set forth by the jurisdictions where it is located.\n
\n
\n", "", "", "
Active
\n", "", "", "
344600000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255999
\n", "
\n
\n\n
\n"], ["113", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Physical Medicine & Rehabilitation
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114500
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253908
\n", "
\n
\n\n
\n"], ["1130", "Transportation Services", "", "
Train
\n", "", "
\nAn organization or business licensed to provide passenger train service, including light rail, subway, and traditional services.\n
\n
\n", "", "", "
Active
\n", "", "", "
347D00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5256011
\n", "
\n
\n\n
\n"], ["1131", "Transportation Services", "", "
Transportation Broker
\n", "", "
\nAn organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and \ntickets, and secured transportation.\n
\n
\n", "", "", "
Active
\n", "", "", "
347E00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5256014
\n", "
\n
\n\n
\n"], ["1132", "Chiropractic Providers", "", "
Chiropractor
\n", "", "
\nThe Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, \ntherapeutic and preventative chiropractic health care for newborns through adolescents.\n
\n
\n", "
Pediatric Chiropractor
\n", "", "
Active
\n", "", "
V020900
\n", "
111NP0017X
\n", "", "
35
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252447
\n", "
\n
\n\n
\n"], ["1133", "Other Service Providers", "", "
Reflexologist
\n", "", "
\nReflexologists perform a non-invasive complementary modality involving thumb and finger techniques to apply alternating pressure to the reflexes within the reflex maps of the body located on the feet, hands, and outer ears. Reflexologists apply pressure \nto specific areas (feet, hands, and ears) to promote a response from an area far removed from the tissue stimulated via the nervous system and acupuncture meridians. Reflexologists are recommended to complete a minimum of 200 hours of education, \ntypically including anatomy & physiology, Reflexology theory, body systems, zones, meridians & relaxation response, ethics, business standards, and supervised practicum.\n
\n
\n", "", "", "
Active
\n", "", "
V082400
\n", "
173C00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253194
\n", "
\n
\n\n
\n"], ["1134", "Other Service Providers", "", "
Sleep Specialist, PhD
\n", "", "
\nSleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, \npharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others.\n
\n
\n", "", "", "
Active
\n", "", "
V082500
\n", "
173F00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253197
\n", "
\n
\n\n
\n"], ["1135", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nPharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.\n
\n
\n", "
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
\n", "", "
Active
\n", "", "
V090106
\n", "
1835P0018X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253296
\n", "
\n
\n\n
\n"], ["1136", "Agencies", "", "
Foster Care Agency
\n", "", "
\nA Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster \nfamily homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.\n
\n
\n", "", "", "
Active
\n", "", "", "
253J00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5251394
\n", "
\n
\n\n
\n"], ["1137", "Allopathic & Osteopathic Physicians", "", "
Family Medicine
\n", "", "
\nA Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. \nSleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, \nparasomnias and sleep related movement disorders.\n
\n
\n", "
Sleep Medicine
\n", "", "
Active
\n", "", "
V180707
\n", "
207QS1201X
\n", "", "
08
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251622
\n", "
\n
\n\n
\n"], ["1138", "Behavioral Health & Social Service Providers", "", "
Behavior Analyst
\n", "", "
\nA behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required \nsupervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral \nassessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.\n
\n
\n", "", "", "
Active
\n", "", "
V010700
\n", "
103K00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252318
\n", "
\n
\n\n
\n"], ["1139", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapist
\n", "", "
\nOccupational therapists work with older adults in virtually every setting: assisted living, wellness programs, hospitals, nursing homes, senior centers, clinics and in the home. Occupational therapists bring an understanding of the importance of \nparticipation and occupation for overall well-being to those who are experiencing disabling conditions related to aging. The primary overarching goal of occupational therapy services with this population is to maximize independence and participation, \nthereby enabling an older person to continue to live successfully in his or her chosen environment. Occupational therapists can help older adults by developing strategies to help or maintain safety and well-being, to assist with life transitions, \nand to compensate for challenges they experience in activities of daily living, instrumental activities of daily living, leisure participation, social participation, and productive activities.\n
\n
\n", "
Gerontology
\n", "", "
Active
\n", "", "
V130110
\n", "
225XG0600X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255204
\n", "
\n
\n\n
\n"], ["114", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Preventive Medicine, General
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114600
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253923
\n", "
\n
\n\n
\n"], ["1140", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapist
\n", "", "
\nOccupational therapists provide treatment for people recovering from a mental or physical illness to regain their independence and stability and to engage in normal daily occupations (work, home, family life, school, leisure). Occupational therapists \nprovide particular emphasis on interventions that result in improved quality of life and decrease hospitalization.\n
\n
\n", "
Mental Health
\n", "", "
Active
\n", "", "
V130111
\n", "
225XM0800X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255216
\n", "
\n
\n\n
\n"], ["1141", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapist
\n", "", "
\nOccupational therapists are experts at helping people lead as independent a life as possible. Occupational therapists bring an understanding of the physical and psychological implications of illness and injury and their effects on peoples' ability \nto perform the tasks of daily living. Occupational therapists provide interventions that can aide a person in completing ADL and IADL tasks, such as dressing, bathing, preparing meals, and driving. They also may fabricate custom orthotics to improve \nfunction, evaluate the environment for safety hazards and recommend adaptations to remove those hazards, help a person compensate for cognitive changes, and build a persons' physical endurance and strength. Occupational therapists' knowledge \nof adapting tasks and modifying the environment to compensate for functional limitations is used to increase the involvement of clients and to promote safety and success.\n
\n
\n", "
Physical Rehabilitation
\n", "", "
Active
\n", "", "
V130112
\n", "
225XP0019X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255222
\n", "
\n
\n\n
\n"], ["1142", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapist
\n", "", "
\nOccupational therapy practitioners are experts at identifying the cause of difficulties in performance of activities of daily living and instrumental activities of daily living. Occupational therapy practitioners evaluate the client, their environment, \nand their occupational performance in that environment, as well as make recommendations for products to improve the fit between the client, place, and activity. Occupational therapists can evaluate both the skills of the client and the environmental \nfeatures that support or limit the performance of meaningful or necessary activities, thereby enhancing health, safety and well-being. Based on this assessment, they recommend modification and intervention strategies that improve the \nfit between the person and his or her environment.\n
\n
\n", "
Environmental Modification
\n", "", "
Active
\n", "", "
V130113
\n", "
225XE0001X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255195
\n", "
\n
\n\n
\n"], ["1143", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapist
\n", "", "
\nOccupational therapists provide interventions to clients of all ages with feeding, eating and swallowing difficulties. Occupational therapists provide comprehensive rehabilitative, habilitative, and palliative dysphagia care, which includes collaborating \nwith clients to provide individualized compensatory swallowing strategies, modified diet textures, adapted mealtime environments, enhanced feeding skills, preparatory exercises and positioning to clients, reinforcement of mealtime strategies \nto enhance and improve swallowing skills, and training to caregivers to enhance eating and feeding performance. Occupational therapists provide screening and in-depth clinical assessment which may include instrumental dysphagia assessments \nincluding videofluroscopy.\n
\n
\n", "
Feeding, Eating & Swallowing
\n", "", "
Active
\n", "", "
V130114
\n", "
225XF0002X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255201
\n", "
\n
\n\n
\n"], ["1144", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapist
\n", "", "
\nOccupational therapists enable children and adults with visual impairment to engage in their chosen daily living activities safely and as independently as possible. This is accomplished by 1) teaching the person to use their remaining vision as efficiently \nas possible to complete activities; (2) modifying activities so that they can be completed with less vision; (3) training the person in use of adaptive equipment to compensate for vision loss, including high and low technology assistive \ndevices; and (4) modifying the person's environment.\n
\n
\n", "
Low Vision
\n", "", "
Active
\n", "", "
V130115
\n", "
225XL0004X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255213
\n", "
\n
\n\n
\n"], ["1145", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapy Assistant
\n", "", "
\nOccupational therapy assistants provide environmental modifications under the supervision of an occupational therapist. OTAs develop and implement an individualized occupational therapy environmental modification plan that reflects the relevant contexts \nof the client and relevant others and maximizes current and future occupational performance, safety, and participation of the client. Clients receive environmental modification recommendations and interventions that enable them to meet occupational \nperformance and participation goals and that have adequate flexibility to accommodate for their future needs.\n
\n
\n", "
Feeding, Eating & Swallowing
\n", "", "
Active
\n", "", "
V130116
\n", "
224ZF0002X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255096
\n", "
\n
\n\n
\n"], ["1146", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapy Assistant
\n", "", "
\nOccupational therapy assistants contribute to the completion of an individualized occupational therapy low-vision evaluation under the direction and supervision of the occupational therapist to identify factors that may facilitate, compensate for, \nor inhibit use of vision in occupational performance. Clients are engaged in the identification of strengths, limitations, and goals as they relate to low vision to optimize independence and participation in desired occupations. Occupational therapy \nassistants also contribute to the development and implementation of an individualized occupational therapy low-vision intervention plan in collaboration with the occupational therapist, client, and relevant others that reflects the client's \npriorities for occupational performance.\n
\n
\n", "
Low Vision
\n", "", "
Active
\n", "", "
V130117
\n", "
224ZL0004X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255099
\n", "
\n
\n\n
\n"], ["1147", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapy Assistant
\n", "", "
\nOccupational therapy assistants contribute to the completion of an individualized occupational therapy driving and community mobility evaluation by administering delegated assessments and identifying findings that impact the client's occupational \nperformance. Clients engage in the assessment and occupational profile process to customize the evaluation to their individual driving and community mobility needs. Occupational therapy assistants administer and continuously modify individualized \nin-vehicle and community mobility assessments within the naturalistic context of the community in response to the occupational performance and safety behaviors of the client. They also implement an individualized intervention plan, within the \nparameters established in collaboration with the occupational therapist that reflects the contexts of the client and meets his or her occupational performance and safety needs. Occupational therapy assistants address immediate and long-term implications \nof psychosocial issues related to compromised driving and community mobility throughout the occupational therapy process and makes recommendations to the occupational therapist for modification to service delivery.\n
\n
\n", "
Driving and Community Mobility
\n", "", "
Active
\n", "", "
V130118
\n", "
224ZR0403X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255102
\n", "
\n
\n\n
\n"], ["1148", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapy Assistant
\n", "", "
\nOccupational therapy assistants provide environmental modifications under the supervision of an occupational therapist. OTAs develop and implement an individualized occupational therapy environmental modification plan that reflects the relevant contexts \nof the client and relevant others and maximizes current and future occupational performance, safety, and participation of the client. Clients receive environmental modification recommendations and interventions that enable them to meet occupational \nperformance and participation goals and that have adequate flexibility to accommodate for their future needs.\n
\n
\n", "
Environmental Modification
\n", "", "
Active
\n", "", "
V130119
\n", "
224ZE0001X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255093
\n", "
\n
\n\n
\n"], ["1149", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiology Practitioner Assistant
\n", "", "
\nA Radiology Practitioner Assistant (RPA) is a health professional certified as a registered radiographer with the American Registry of Radiologic Technologists (ARRT) and, in addition, is credentialed to provide primary radiology health care with \nradiologist supervision. Radiology Practitioner Assistants are qualified by graduation from an educational program recognized by the Board of Directors of athe Certification Board for Radiology Practitioner Assistants (CBRPA) and certified by the \nCBRPA. Within the Radiologist/RPA relationship, Radiology Practitioner Assistants exercise autonomy in decision making in the role of a primary caregiver with regard to patient assessment, patient management and in providing a broad range of \nradiology diagnostic and interventional services. The clinical role of the Radiology Practitioner Assistant includes primary and specialty care in radiology practice settings in rural and urban areas.\n
\n
\n", "", "", "
Active
\n", "", "
V153000
\n", "
243U00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255609
\n", "
\n
\n\n
\n"], ["115", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Aerospace Medicine: Preventive Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114601
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253926
\n", "
\n
\n\n
\n"], ["1150", "Agencies", "", "
In Home Supportive Care
\n", "", "
\nAn In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living \n(ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or \nsupervision or cuing so that a person can perform tasks themselves.\n
\n
\n", "", "", "
Active
\n", "", "", "
253Z00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5251397
\n", "
\n
\n\n
\n"], ["1151", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical \nhealth psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including: Research; Clinical services; Consulting with, educating, and supervising \nother health care providers and psychologists; Advising organizations, institutions, the public, and policymakers\n
\n
\n", "
Health
\n", "", "
Active
\n", "", "
V010422
\n", "
103TH0004X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252354
\n", "
\n
\n\n
\n"], ["1152", "Allopathic & Osteopathic Physicians", "", "
Physical Medicine & Rehabilitation
\n", "", "
\nA physical medicine and rehabilitation physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care \nteam to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise \nin the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the \nmanagement of the imminently dying patient; and legal and ethical decision making in end-of-life care.\n
\n
\n", "
Hospice and Palliative Medicine
\n", "", "
Active
\n", "", "
V182605
\n", "
2081H0002X
\n", "", "
25
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251916
\n", "
\n
\n\n
\n"], ["1153", "Other Service Providers", "", "
Health Educator
\n", "", "
\nHealth educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally \nrequire a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.\n
\n
\n", "", "", "
Active
\n", "", "
V081902
\n", "
174H00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253218
\n", "
\n
\n\n
\n"], ["1154", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; \ndirecting child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.\n
\n
\n", "
Child Abuse Pediatrics
\n", "", "
Active
\n", "", "
V180506
\n", "
2080C0008X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251847
\n", "
\n
\n\n
\n"], ["1155", "Nursing Service Related Providers", "", "
Doula
\n", "", "
\nDoulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum \nperiod.\n
\n
\n", "", "", "
Active
\n", "", "
V170603
\n", "
374J00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253092
\n", "
\n
\n\n
\n"], ["1156", "Nursing Service Related Providers", "", "
Religious Nonmedical Practitioner
\n", "", "
\nA religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.\n
\n
\n", "", "", "
Active
\n", "", "
V170101
\n", "
374K00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253056
\n", "
\n
\n\n
\n"], ["1157", "Allopathic & Osteopathic Physicians", "", "
Phlebology
\n", "", "
\nPhlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and \nother disorders of venous origin.  A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous \nimaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, \nsclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management \nof venous thromboembolism.\n
\n
\n", "", "", "
Active
\n", "", "
V182415
\n", "
202K00000X
\n", "", "
22
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251541
\n", "
\n
\n\n
\n"], ["1158", "Allopathic & Osteopathic Physicians", "", "
Pathology
\n", "", "
\nA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information \ngathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.\n
\n
\n", "
Clinical Pathology
\n", "", "
Active
\n", "", "
V182416
\n", "
207ZC0006X
\n", "", "
22
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251505
\n", "
\n
\n\n
\n"], ["1159", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nA licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases.\n
\n
\n", "
Oncology
\n", "", "
Active
\n", "", "
V090108
\n", "
1835X0200X
\n", "", "
87
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253311
\n", "
\n
\n\n
\n"], ["116", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Toxicology, Medical: Preventive Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114602
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253929
\n", "
\n
\n\n
\n"], ["1160", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nA pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision \nof pharmaceutical care to the elderly.\n
\n
\n", "
Geriatric
\n", "", "
Active
\n", "", "
V090107
\n", "
1835G0303X
\n", "", "
87
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253287
\n", "
\n
\n\n
\n"], ["1161", "Transportation Services", "", "
Air Carrier
\n", "", "
\nAn air company that the Federal Aviation Administration, the certificate-holding district office (CHDO), regional Flight Standards Division (RFSD) offices, and AFS-900 has verified that the company is capable of operating safely and that it complies \nwith the regulations and standards prescribed by the Administrator.\n
\n
\n", "", "", "
Active
\n", "", "", "
344800000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5256002
\n", "
\n
\n\n
\n"], ["1162", "Technologists, Technicians & Other Technical Service Providers", "", "
Perfusionist
\n", "", "
\nA perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable \nconcerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.\n
\n
\n", "", "", "
Active
\n", "", "
V151002
\n", "
242T00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255606
\n", "
\n
\n\n
\n"], ["1163", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Mastectomy Fitter
\n", "", "
\nAn individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.\n
\n
\n", "", "", "
Active
\n", "", "
V130216
\n", "
224900000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255078
\n", "
\n
\n\n
\n"], ["1164", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Pedorthist
\n", "", "
\nAn individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.\n
\n
\n", "", "", "
Active
\n", "", "
V130313
\n", "
224L00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255081
\n", "
\n
\n\n
\n"], ["1165", "Other Service Providers", "", "
Meals
\n", "", "
\nA public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.\n
\n
\n", "", "", "
Active
\n", "", "", "
174200000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5253200
\n", "
\n
\n\n
\n"], ["1166", "Allopathic & Osteopathic Physicians", "", "
Orthopaedic Surgery
\n", "", "
\nAn orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait \nabnormalities (limping); bone and joint infections; broken bones.\n
\n
\n", "
Pediatric Orthopaedic Surgery
\n", "", "
Active
\n", "", "
V182107
\n", "
207XP3100X
\n", "", "
20
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251802
\n", "
\n
\n\n
\n"], ["1167", "Other Service Providers", "", "
Lactation Consultant, Non-RN
\n", "", "
\nAn individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional \ncertification through a national or international organization.\n
\n
\n", "", "", "
Active
\n", "", "
V070850
\n", "
174N00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253227
\n", "
\n
\n\n
\n"], ["1168", "Other Service Providers", "", "
Clinical Ethicist
\n", "", "
\nA clinical ethicist has been trained in bioethics and ethics case consultation. The clinical ethicist addresses medical-ethical dilemmas arising in clinical practice, such as end-of-life care, refusal of treatment, and futility of care; assists patients \nand health care providers with medical decision-making; and provides ethics education for patients and families.\n
\n
\n", "", "", "
Active
\n", "", "
V081810
\n", "
174V00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253230
\n", "
\n
\n\n
\n"], ["1169", "Allopathic & Osteopathic Physicians", "", "
Electrodiagnostic Medicine
\n", "", "
\nElectrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained \nin performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, \nneuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge \nabout electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics.\n
\n
\n", "", "", "
Active
\n", "", "
V181550
\n", "
204R00000X
\n", "", "
13
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251463
\n", "
\n
\n\n
\n"], ["117", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Occupational Medicine: Preventive Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114603
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253932
\n", "
\n
\n\n
\n"], ["1170", "Other Service Providers", "", "
Genetic Counselor, MS
\n", "", "
\nA masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, \nmanagement, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board \nof Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.\n
\n
\n", "", "", "
Active
\n", "", "
V082201
\n", "
170300000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253149
\n", "
\n
\n\n
\n"], ["1171", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nA Hypertension Specialist is a physician who concentrates on all aspects of the diagnosis and treatment of hypertension.\n
\n
\n", "
Hypertension Specialist
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V182605
\n", "
207RH0005X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251682
\n", "
\n
\n\n
\n"], ["1172", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Clinical Exercise Physiologist
\n", "", "
\nA Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary \ndisease, and metabolic disorders.\n
\n
\n", "", "", "
Active
\n", "", "
V130601
\n", "
224Y00000X
\n", "", "
25
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255087
\n", "
\n
\n\n
\n"], ["1173", "Suppliers", "", "
Medical Foods Supplier
\n", "", "
\nA supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet.  Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available \nin grocery stores, health food stores, or pharmacies.\n
\n
\n", "", "", "
Active
\n", "", "", "
335G00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255546
\n", "
\n
\n\n
\n"], ["1174", "Eye and Vision Services Providers", "", "
Resident, Optometrist
\n", "", "
\nAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.\n
\n
\n", "", "", "
Active
\n", "", "
V060808
\n", "
390200000X
\n", "", "
41
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253095
\n", "
\n
\n\n
\n"], ["1175", "Podiatric Medicine & Surgery Service Providers", "", "
Resident, Podiatrist
\n", "", "
\nAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.\n
\n
\n", "", "", "
Active
\n", "", "
V120213
\n", "
390200000X
\n", "", "
48
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255042
\n", "
\n
\n\n
\n"], ["1176", "Allopathic & Osteopathic Physicians", "", "
Obstetrics & Gynecology
\n", "", "
\nA subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex \nbenign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications \nresulting from them.\n
\n
\n", "
Urogynecology and Reconstructive Pelvic Surgery
\n", "", "
Active
\n", "", "
V181807
\n", "
207VF0040X
\n", "", "
16
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251766
\n", "
\n
\n\n
\n"], ["1177", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nBehavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.\n
\n
\n", "
Behavioral Neurology & Neuropsychiatry
\n", "", "
Active
\n", "", "
V182914
\n", "
2084B0040X
\n", "", "
26
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251982
\n", "
\n
\n\n
\n"], ["1178", "Allopathic & Osteopathic Physicians", "", "
Urology
\n", "", "
\nA subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex \nbenign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications \nresulting from them.\n
\n
\n", "
Urogynecology and Reconstructive Pelvic Surgery
\n", "", "
Active
\n", "", "
V183401
\n", "
2088F0040X
\n", "", "
34
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251421
\n", "
\n
\n\n
\n"], ["1179", "Allopathic & Osteopathic Physicians", "", "
Anesthesiology
\n", "", "
\nAn anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the \nevaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT \nscan, and radiation therapy.\n
\n
\n", "
Pediatric Anesthesiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110403
\n", "
207LP3000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251553
\n", "
\n
\n\n
\n"], ["118", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Occupational-Environmental Medicine: Preventive Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114604
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253935
\n", "
\n
\n\n
\n"], ["1180", "Behavioral Health & Social Service Providers", "", "
Psychoanalyst
\n", "", "
\nPsychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and \npersonal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference \nand countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst's training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic \ntechnique varies in relation to theoretical orientation.\n
\n
\n", "", "", "
Active
\n", "", "
V010423
\n", "
102L00000X
\n", "", "
26
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252306
\n", "
\n
\n\n
\n"], ["1181", "Behavioral Health & Social Service Providers", "", "
Poetry Therapist
\n", "", "
\nA medical or mental health professional who has attained credentials after satisfactorily completing a poetry therapy training program approved by the National Federation for Biblio/Poetry Therapy (NFBPT). Training includes didactic work, peer group \nexperience, and supervised practicum. An NFBPT credentialed certified poetry therapist (CPT) or registered poetry therapist (PTR) integrates discussion of published literature and reflective or creative writing into the psychotherapeutic process \nto achieve goals of emotional well-being, symptom reduction, and improved interpersonal communication. Certified poetry therapists and registered poetry therapists are licensed mental health professionals with advanced training in the theory \nand practice of poetry therapy. CPTs and PTRs are qualified to work independently with emotionally troubled populations in clinical, rehabilitative, community and educational institutions. They also work with emotionally healthy individuals adjusting \nto developmental issues, life crises, or disabilities. The PTR completes an advanced level of training and fieldwork, commensurate with the highest levels of clinical practice. The terms poetry therapy, applied poetry facilitation, journal \ntherapy, bibliotherapy, biblio/poetry therapy, and poetry/journal therapy reflect the interactive use of literature and/or writing to promote personal growth and emotional healing. In addition to poetry, poetry therapy applies all forms or written \nand spoken language including story, myth, folk and fairy tale and other genres of poetic expression as well as journal, memoir, and narrative. The poetry therapy process integrates discussion of published literature and reflective or creative \nwriting for expression and communication of thoughts and feelings to facilitate participants' emotional well-being. The field of poetry therapy encompasses all of these modalities, though only a duly trained and licensed clinical practitioner \ncan be credentialed as CPT or PTR.\n
\n
\n", "", "", "
Active
\n", "", "
V010701
\n", "
102X00000X
\n", "", "
26
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252309
\n", "
\n
\n\n
\n"], ["1182", "Chiropractic Providers", "", "
Chiropractor
\n", "", "
\nRehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that \nan individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which \nthe patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.\n
\n
\n", "
Rehabilitation
\n", "", "
Active
\n", "", "
V020601
\n", "
111NR0400X
\n", "", "
35
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252453
\n", "
\n
\n\n
\n"], ["1183", "Allopathic & Osteopathic Physicians", "", "
Anesthesiology
\n", "", "
\nAn anesthesiologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of \nlife while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of \npatients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently \ndying patient; and legal and ethical decision making in end-of-life care.\n
\n
\n", "
Hospice and Palliative Medicine
\n", "", "
Active
\n", "", "
V180204
\n", "
207LH0002X
\n", "", "
05
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251547
\n", "
\n
\n\n
\n"], ["1184", "Allopathic & Osteopathic Physicians", "", "
Anesthesiology
\n", "", "
\nAn anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the \nevaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT \nscan, and radiation therapy.\n
\n
\n", "
Pediatric Anesthesiology
\n", "", "
Active
\n", "", "
V180205
\n", "
207LP3000X
\n", "", "
05
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251556
\n", "
\n
\n\n
\n"], ["1185", "Allopathic & Osteopathic Physicians", "", "
Emergency Medicine
\n", "", "
\nAn emergency medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize \nquality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment \nof patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the \nimminently dying patient; and legal and ethical decision making in end-of-life care.\n
\n
\n", "
Hospice and Palliative Medicine
\n", "", "
Active
\n", "", "
V180606
\n", "
207PH0002X
\n", "", "
93
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251586
\n", "
\n
\n\n
\n"], ["1186", "Allopathic & Osteopathic Physicians", "", "
Family Medicine
\n", "", "
\nA physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity \nmedicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as \ndietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of \nbariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.\n
\n
\n", "
Obesity Medicine
\n", "", "
Active
\n", "", "
V180708
\n", "
207QB0002X
\n", "", "
08
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251610
\n", "
\n
\n\n
\n"], ["1187", "Allopathic & Osteopathic Physicians", "", "
Family Medicine
\n", "", "
\nA family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality \nof life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment \nof patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently \ndying patient; and legal and ethical decision making in end-of-life care.\n
\n
\n", "
Hospice and Palliative Medicine
\n", "", "
Active
\n", "", "
V180709
\n", "
207QH0002X
\n", "", "
08
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251616
\n", "
\n
\n\n
\n"], ["1188", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nA physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity \nmedicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as \ndietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of \nbariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.\n
\n
\n", "
Obesity Medicine
\n", "", "
Active
\n", "", "
V181022
\n", "
207RB0002X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251643
\n", "
\n
\n\n
\n"], ["1189", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize \nquality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment \nof patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the \nimminently dying patient; and legal and ethical decision making in end-of-life care.\n
\n
\n", "
Hospice and Palliative Medicine
\n", "", "
Active
\n", "", "
V181023
\n", "
207RH0002X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251673
\n", "
\n
\n\n
\n"], ["119", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Public Health & General Preventive Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114605
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253938
\n", "
\n
\n\n
\n"], ["1190", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists \ntreat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias \nand sleep related movement disorders.\n
\n
\n", "
Sleep Medicine
\n", "", "
Active
\n", "", "
V181024
\n", "
207RS0012X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251712
\n", "
\n
\n\n
\n"], ["1191", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment \nby a team having experience in evaluating the severity and prognosis of patients with liver disease.\n
\n
\n", "
Transplant Hepatology
\n", "", "
Active
\n", "", "
V181025
\n", "
207RT0003X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251715
\n", "
\n
\n\n
\n"], ["1192", "Allopathic & Osteopathic Physicians", "", "
Obstetrics & Gynecology
\n", "", "
\nA physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity \nmedicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as \ndietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of \nbariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.\n
\n
\n", "
Obesity Medicine
\n", "", "
Active
\n", "", "
V181808
\n", "
207VB0002X
\n", "", "
16
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251757
\n", "
\n
\n\n
\n"], ["1193", "Allopathic & Osteopathic Physicians", "", "
Obstetrics & Gynecology
\n", "", "
\nAn obstetrician/gynecologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize \nquality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment \nof patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the \nimminently dying patient; and legal and ethical decision making in end-of-life care.\n
\n
\n", "
Hospice and Palliative Medicine
\n", "", "
Active
\n", "", "
V181809
\n", "
207VH0002X
\n", "", "
16
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251772
\n", "
\n
\n\n
\n"], ["1194", "Allopathic & Osteopathic Physicians", "", "
Otolaryngology
\n", "", "
\nAn Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep \nspecialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias \nand sleep related movement disorders.\n
\n
\n", "
Sleep Medicine
\n", "", "
Active
\n", "", "
V182207
\n", "
207YS0012X
\n", "", "
04
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251484
\n", "
\n
\n\n
\n"], ["1195", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life \nwhile addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients \nwith advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying \npatient; and legal and ethical decision making in end-of-life care.\n
\n
\n", "
Hospice and Palliative Medicine
\n", "", "
Active
\n", "", "
V182518
\n", "
2080H0002X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251850
\n", "
\n
\n\n
\n"], ["1196", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists \ntreat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias \nand sleep related movement disorders.\n
\n
\n", "
Sleep Medicine
\n", "", "
Active
\n", "", "
V182519
\n", "
2080S0012X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251904
\n", "
\n
\n\n
\n"], ["1197", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician with expertise in transplant hepatology encompasses the special knowledge and skill required of pediatric gastroenterologists to care for patients prior to and following hepatic transplantation; it spans all phases of liver transplantation.\n
\n
\n", "
Pediatric Transplant Hepatology
\n", "", "
Active
\n", "", "
V182520
\n", "
2080T0004X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251910
\n", "
\n
\n\n
\n"], ["1198", "Allopathic & Osteopathic Physicians", "", "
Physical Medicine & Rehabilitation
\n", "", "
\nA physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management ofthese disorders. This encompasses the knowledge of the pathology, diagnosisand treatment of these disorders \nat a level that is significantly beyond thetraining and knowledge expected of a general neurologist, child neurologist orphysiatrist.\n
\n
\n", "
Neuromuscular Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V182605
\n", "
2081N0008X
\n", "", "", "", "", "
YES
\n", "
5256348
\n", "
\n
\n\n
\n"], ["1199", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nA physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity \nmedicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as \ndietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of \nbariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.\n
\n
\n", "
Obesity Medicine
\n", "", "
Active
\n", "", "
V182915
\n", "
2084B0002X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251979
\n", "
\n
\n\n
\n"], ["12", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Immunology, Clinical & Laboratory Dermatological
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110701
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253560
\n", "
\n
\n\n
\n"], ["120", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Underseas Medicine: Preventive Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114606
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253941
\n", "
\n
\n\n
\n"], ["1200", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nBehavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.\n
\n
\n", "
Behavioral Neurology & Neuropsychiatry
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V182916
\n", "
2084B0040X
\n", "", "", "", "", "
YES
\n", "
5251985
\n", "
\n
\n\n
\n"], ["1201", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nA licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, \nand peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses \nthorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications \nof each of the modalities and techniques of neuroimaging.\n
\n
\n", "
Diagnostic Neuroimaging
\n", "", "
Active
\n", "", "
V182917
\n", "
2084D0003X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251988
\n", "
\n
\n\n
\n"], ["1202", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nA psychiatrist or neurologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize \nquality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment \nof patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the \nimminently dying patient; and legal and ethical decision making in end-of-life care.\n
\n
\n", "
Hospice and Palliative Medicine
\n", "", "
Active
\n", "", "
V182918
\n", "
2084H0002X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251994
\n", "
\n
\n\n
\n"], ["1203", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nA neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), \nvarious muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).\n
\n
\n", "
Neuromuscular Medicine
\n", "", "
Active
\n", "", "
V182919
\n", "
2084N0008X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251997
\n", "
\n
\n\n
\n"], ["1204", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nPsychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical \nor surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and \nCOPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists \nspecializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.\n
\n
\n", "
Psychosomatic Medicine
\n", "", "
Active
\n", "", "
V182920
\n", "
2084P0015X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252012
\n", "
\n
\n\n
\n"], ["1205", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nA Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. \nSleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, \nparasomnias and sleep related movement disorders.\n
\n
\n", "
Sleep Medicine
\n", "", "
Active
\n", "", "
V182921
\n", "
2084S0012X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252036
\n", "
\n
\n\n
\n"], ["1206", "Allopathic & Osteopathic Physicians", "", "
Radiology
\n", "", "
\nA licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, \nand peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses \nthorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications \nof each of the modalities and techniques of neuroimaging.\n
\n
\n", "
Diagnostic Neuroimaging
\n", "", "
Active
\n", "", "
V183011
\n", "
2085D0003X
\n", "", "
94
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252045
\n", "
\n
\n\n
\n"], ["1207", "Allopathic & Osteopathic Physicians", "", "
Radiology
\n", "", "
\nA radiologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life \nwhile addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients \nwith advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying \npatient; and legal and ethical decision making in end-of-life care.\n
\n
\n", "
Hospice and Palliative Medicine
\n", "", "
Active
\n", "", "
V183012
\n", "
2085H0002X
\n", "", "
94
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252048
\n", "
\n
\n\n
\n"], ["1208", "Allopathic & Osteopathic Physicians", "", "
Surgery
\n", "", "
\nA surgeon with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while \naddressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients \nwith advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; \nand legal and ethical decision making in end-of-life care.\n
\n
\n", "
Hospice and Palliative Medicine
\n", "", "
Active
\n", "", "
V183108
\n", "
2086H0002X
\n", "", "
02
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252093
\n", "
\n
\n\n
\n"], ["1209", "Allopathic & Osteopathic Physicians", "", "
Urology
\n", "", "
\nSurgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally \nprovide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including \ngenital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).\n
\n
\n", "
Pediatric Urology
\n", "", "
Active
\n", "", "
V183402
\n", "
2088P0231X
\n", "", "
34
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251424
\n", "
\n
\n\n
\n"], ["121", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Proctology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114700
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253950
\n", "
\n
\n\n
\n"], ["1210", "Dental Providers", "", "
Dental Therapist
\n", "", "
\nA Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the \nsupervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.\n
\n
\n", "", "", "
Active
\n", "", "
V030101
\n", "
125J00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252510
\n", "
\n
\n\n
\n"], ["1211", "Dental Providers", "", "
Advanced Practice Dental Therapist
\n", "", "
\nAn Advanced Practice Dental Therapist is:<br/>(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; \nor<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.<br/><br/>The \nindividual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational \npreparation of the advanced practice dental therapist and state dental practice acts and regulations.\n
\n
\n", "", "", "
Active
\n", "", "
V030102
\n", "
125K00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252513
\n", "
\n
\n\n
\n"], ["1212", "Other Service Providers", "", "
Case Manager/Care Coordinator
\n", "", "
\nA person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on \na periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials \nmay vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case \nmanagement.\n
\n
\n", "", "", "
Active
\n", "", "
V080101
\n", "
171M00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253164
\n", "
\n
\n\n
\n"], ["1213", "Other Service Providers", "", "
Community Health Worker
\n", "", "
\nCommunity health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status \nand life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, \nand peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health \nbehaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under \n25 USC section1616 (l) under HHS, Indian Health Service, Public Health Service.\n
\n
\n", "", "", "
Active
\n", "", "
V080400
\n", "
172V00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253188
\n", "
\n
\n\n
\n"], ["1214", "Other Service Providers", "", "
Interpreter
\n", "", "
\nAn Interpreter is a person who translates oral communication between two or more people. This includes translating from one language to another or interpreting sign language. An interpreter is necessary for medical care when the patient does not \nspeak the language of the health care provider or when the patient has a disability involving spoken language.\n
\n
\n", "", "", "
Active
\n", "", "
V080300
\n", "
171R00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253167
\n", "
\n
\n\n
\n"], ["1215", "Other Service Providers", "", "
Mechanotherapist
\n", "", "
\nA practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised \nexercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy.\n
\n
\n", "", "", "
Active
\n", "", "
V080600
\n", "
172M00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253182
\n", "
\n
\n\n
\n"], ["1216", "Dental Providers", "", "
Dentist
\n", "", "
\nA dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency \nPrograms, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.\n
\n
\n", "
Dentist Anesthesiologist
\n", "", "
Active
\n", "", "
V030490
\n", "
1223D0004X
\n", "", "
C5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252474
\n", "
\n
\n\n
\n"], ["1217", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nA freestanding birth center is a health facility other than a hospital \nwhere childbirth is planned to occur away from the pregnant woman's \nresidence, and that provides prenatal, labor and delivery, and postpartum \ncare, as well as other ambulatory services for women and newborns.\n \nSource: Summarized from Social Security Act [42 U.S.C. 1396d(1)(3)(B)].\n
\n
\n", "
Birthing
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "", "
261QB0400X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
NO
\n", "
5252126
\n", "
\n
\n\n
\n"], ["1218", "Allopathic & Osteopathic Physicians", "", "
Independent Medical Examiner
\n", "", "
\nA special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.\n
\n
\n", "", "", "
Active
\n", "", "
V180905
\n", "
202C00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251538
\n", "
\n
\n\n
\n"], ["1219", "Other Service Providers", "", "
Peer Specialist
\n", "", "
\nIndividuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.\n
\n
\n", "", "", "
Active
\n", "", "
V081501
\n", "
175T00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253242
\n", "
\n
\n\n
\n"], ["122", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry, Child
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114900
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253986
\n", "
\n
\n\n
\n"], ["1220", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "
\nAn Orthopaedic Assistant is a person who has been trained to work as a physician extender in both clinical and surgical environments. An Orthopaedic Assistant assists with aspects of patient care as determined by the supervising surgeon including, \nbut not limited to, obtaining patient history, assisting with examinations, injections, recording of office notes, and application/adjustment/removal of splints, casts, and other immobilization devices. Acting as a surgical first assistant for \northopaedic surgery cases includes providing aid in exposure, hemostasis, positioning of the patient, suturing and closure of body planes and skin, application of wound dressings or immobilization devices, and other technical functions that will \nhelp the surgeon carry out a safe operation with optimal results for the patient. An Orthopaedic Assistant may be licensed, registered, or certified depending on the state in which the individual practices.\n
\n
\n", "
Orthopedic Assistant
\n", "", "
Active
\n", "", "
V150222
\n", "
246ZX2200X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255681
\n", "
\n
\n\n
\n"], ["1221", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "
\nA surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, \nclamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and \nregistered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.\n
\n
\n", "
Surgical Assistant
\n", "", "
Active
\n", "", "
V150223
\n", "
246ZC0007X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255657
\n", "
\n
\n\n
\n"], ["1222", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "", "
Surgical Technologist
\n", "", "
Inactive
\n", "
2018-04-26 00:00:00
\n", "
V150218
\n", "
246ZS0410X
\n", "", "", "", "", "
YES
\n", "
5298136
\n", "
\n
\n\n
\n"], ["1223", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Immunology, Clinical & Laboratory Dermatological
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110701
\n", "
203BI0002N
\n", "", "", "", "", "
YES
\n", "
5254313
\n", "
\n
\n\n
\n"], ["1224", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Internal Medicine: Hepatology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111517
\n", "
203BI0008X
\n", "", "", "", "", "
YES
\n", "
5254331
\n", "
\n
\n\n
\n"], ["1225", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Hematology: Pathology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113710
\n", "
203BH0002Y
\n", "", "", "", "", "
YES
\n", "
5254304
\n", "
\n
\n\n
\n"], ["1226", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "
\nSurgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective \nconduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists \npossess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive \ntherapeutic and diagnostic procedures.\n
\n
\n", "
Surgical Technologist
\n", "", "
Active
\n", "", "
V150224
\n", "
246ZS0410X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255678
\n", "
\n
\n\n
\n"], ["1227", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "
Cardiovascular: Invasive Technology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150203
\n", "
246VC2901N
\n", "", "", "", "", "
YES
\n", "
5255921
\n", "
\n
\n\n
\n"], ["1228", "Technologists, Technicians and Other Technical Service", "", "
Technician, Cardiology
\n", "", "", "
ECG
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150208
\n", "
246WE0400N
\n", "", "", "", "", "
YES
\n", "
5255942
\n", "
\n
\n\n
\n"], ["1229", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Recreational Therapist Assistant
\n", "", "
\nRecreational Therapist Assistants work in support of or assistant to Recreational Therapists treating patients with disabilities, injuries, and illnesses. Recreational Therapist Assistants work in a variety of settings providing treatments using \nrecreational activities, including games, sports, and crafts.\n
\n
\n", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V130209
\n", "
226000000X
\n", "", "", "", "", "
YES
\n", "
5255231
\n", "
\n
\n\n
\n"], ["123", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry & Neurology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114800
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253953
\n", "
\n
\n\n
\n"], ["1230", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Specialist/Technologist
\n", "", "", "
Rehabilitation, Blind
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V130404
\n", "
2255R0406X
\n", "", "", "", "", "
YES
\n", "
5255162
\n", "
\n
\n\n
\n"], ["1231", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Recreational Therapist Assistant
\n", "", "
\nRecreational Therapist Assistants work in support of or assistant to Recreational Therapists treating patients with disabilities, injuries, and illnesses. Recreational Therapist Assistants work in a variety of settings providing treatments using \nrecreational activities, including games, sports, and crafts.\n
\n
\n", "", "", "
Active
\n", "", "
V130814
\n", "
226000000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255234
\n", "
\n
\n\n
\n"], ["1232", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and \nperforms complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.\n
\n
\n", "
Gastroenterology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111507
\n", "
207RG0100X
\n", "", "
10
\n", "", "", "
YES
\n", "
5251661
\n", "
\n
\n\n
\n"], ["1233", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Hematology & Oncology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111200
\n", "
203BH0003Y
\n", "", "", "", "", "
YES
\n", "
5254307
\n", "
\n
\n\n
\n"], ["1234", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Internal Medicine: Pediatrics
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111519
\n", "
203BI0009X
\n", "", "", "", "", "
YES
\n", "
5254334
\n", "
\n
\n\n
\n"], ["1235", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and \ndiseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, \nsubstance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.\n
\n
\n", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110000
\n", "
207R00000X
\n", "", "", "", "", "
YES
\n", "
5251625
\n", "
\n
\n\n
\n"], ["1236", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Genetics, Clinical Biochemical/ Molecular
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111902
\n", "
203BG0204Y
\n", "", "", "", "", "
YES
\n", "
5254280
\n", "
\n
\n\n
\n"], ["1237", "Nursing Service", "", "
Registered Nurse
\n", "", "", "
Operating Room
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V070935
\n", "
163WX1000N
\n", "", "", "", "", "
YES
\n", "
5252861
\n", "
\n
\n\n
\n"], ["1238", "Group", "", "
Multi-Specialty
\n", "", "
\nA business group of one or more individual practitioners, who practice with different areas of specialization.\n
\n
\n", "", "", "
Active
\n", "", "
V183411
\n", "
193200000X
\n", "", "
70
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252648
\n", "
\n
\n\n
\n"], ["1239", "Eye and Vision Services", "", "
Optometrist
\n", "", "", "
Contact Lens
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V060801
\n", "
152WC0800N
\n", "", "", "", "", "
YES
\n", "
5252594
\n", "
\n
\n\n
\n"], ["124", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry, Addiction
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114801
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253956
\n", "
\n
\n\n
\n"], ["1240", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Technologist
\n", "", "", "
Magnetic Resonance Imaging (MRI): Radiation Therapy
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150320
\n", "
2471M1201N
\n", "", "", "", "", "
YES
\n", "
5255954
\n", "
\n
\n\n
\n"], ["1241", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiologic Technologist
\n", "", "
\nAn individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.\n
\n
\n", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150313
\n", "
247100000X
\n", "", "", "", "", "
YES
\n", "
5255690
\n", "
\n
\n\n
\n"], ["1242", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Technologist
\n", "", "", "
Radiation Physicist
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150311
\n", "
2471R0003N
\n", "", "", "", "", "
YES
\n", "
5255960
\n", "
\n
\n\n
\n"], ["1243", "Respiratory, Rehabilitative and Restorative Service", "", "
Physical Therapist
\n", "", "", "
Case Management
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V130310
\n", "
2251C0400N
\n", "", "", "", "", "
YES
\n", "
5255399
\n", "
\n
\n\n
\n"], ["1244", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiologic Technologist
\n", "", "", "
Vascular-Interventional Technology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150301
\n", "
2471V0106X
\n", "", "", "", "", "
YES
\n", "
5255735
\n", "
\n
\n\n
\n"], ["1245", "Physicians (M.D. and D.O.)", "", "", "", "", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "", "", "", "", "", "", "
YES
\n", "
5253518
\n", "
\n
\n\n
\n"], ["1246", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and \nperforms complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.\n
\n
\n", "
Gastroenterology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111500
\n", "
207RG0100X
\n", "", "
10
\n", "", "", "
YES
\n", "
5251658
\n", "
\n
\n\n
\n"], ["1247", "Physician Assistants & Advanced Practice Nursing", "", "
Nurse Practitioner
\n", "", "", "
Pediatrics: Acute Care
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V100612
\n", "
363LP0223N
\n", "", "", "", "", "
YES
\n", "
5253326
\n", "
\n
\n\n
\n"], ["1248", "Nursing Service", "", "
Registered Nurse
\n", "", "", "
Post-Anesthesia
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V070946
\n", "
163WP2200N
\n", "", "", "", "", "
YES
\n", "
5252858
\n", "
\n
\n\n
\n"], ["1249", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Immunology: Laboratory, Diagnostic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118319
\n", "
203BI0004Y
\n", "", "", "", "", "
YES
\n", "
5254319
\n", "
\n
\n\n
\n"], ["125", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry, Child & Adolescent
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114802
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253959
\n", "
\n
\n\n
\n"], ["1250", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "
\nA perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA \nclinical practice. Intraoperatively, the RNFA assists the surgeon.\n
\n
\n", "
Registered Nurse First Assistant
\n", "", "
Active
\n", "", "
V183406
\n", "
163WR0006X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252993
\n", "
\n
\n\n
\n"], ["1251", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Adult Health
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V100618
\n", "
363LA2200X
\n", "", "", "", "", "
YES
\n", "
5253359
\n", "
\n
\n\n
\n"], ["1252", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Immunology, Dermatological
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118318
\n", "
203BI0003Y
\n", "", "", "", "", "
YES
\n", "
5254316
\n", "
\n
\n\n
\n"], ["1253", "Dietary and Nutritional Service", "", "
Dietary Manager
\n", "", "", "
Dietary Management
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V040100
\n", "
1327D0700N
\n", "", "", "", "", "
YES
\n", "
5252564
\n", "
\n
\n\n
\n"], ["1254", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "
Sonography, Diagnostic Cardiac
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150304
\n", "
246VS1301N
\n", "", "", "", "", "
YES
\n", "
5255933
\n", "
\n
\n\n
\n"], ["1255", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Technologist
\n", "", "", "
Quality Management: Radiographer
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150323
\n", "
2471Q0002N
\n", "", "", "", "", "
YES
\n", "
5255957
\n", "
\n
\n\n
\n"], ["1256", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Rehabilitation Counselor
\n", "", "
\nOrientation and Mobility (O&M) specialists teach children and adults who have visual impairments the specific orientation skills used to find one's way in the environment and the mobility skills needed to travel safely and efficiently at home, \nschool, work, and in the community. Instruction is usually provided one-on-one and can include skills such as how to use a long cane, the operation of low vision devices and electronic travel aids when appropriate, how to orient oneself to new environments, \nnavigate public transportation systems, how to cross streets safely, and traveling by using hearing, remaining vision, and other senses. In addition, O&M Specialists help children to develop fundamental skills such as fine and gross \nmotor skills, concept development and problem solving skills. Adult clients can also benefit from an O&M specialist evaluating their current use of travel-related skills, discussing their future goals, and helping them select a program of instruction \nthat will allow them to reach their greatest travel potential.\n
\n
\n", "
Orientation and Mobility Training Provider
\n", "", "
Active
\n", "", "
V183417
\n", "
225CX0006X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255189
\n", "
\n
\n\n
\n"], ["1257", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Other
\n", "", "", "
Forensic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V151002
\n", "
246ZF0200N
\n", "", "", "", "", "
YES
\n", "
5255945
\n", "
\n
\n\n
\n"], ["1258", "Group", "", "
Single Specialty
\n", "", "
\nA business group of one or more individual practitioners, all of who practice with the same area of specialization.\n
\n
\n", "", "", "
Active
\n", "", "
V183412
\n", "
193400000X
\n", "", "
70
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252651
\n", "
\n
\n\n
\n"], ["1259", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Immunology, Clinical & Laboratory: Internal Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111504
\n", "
203BI0006N
\n", "", "", "", "", "
YES
\n", "
5254325
\n", "
\n
\n\n
\n"], ["126", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neurophysiology, Clinical
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114803
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253962
\n", "
\n
\n\n
\n"], ["1260", "Allopathic & Osteopathic Physicians", "", "
Pathology
\n", "", "
\nPhysicians who practice Clinical Informatics collaborate with other health care and information technology professionals to analyze, design, implement and evaluate information and communication systems that enhance individual and population health \noutcomes, improve patient care, and strengthen the clinician-patient relationship. Clinical Informaticians use their knowledge of patient care combined with their understanding of informatics concepts, methods, and tools to: assess information \nand knowledge needs of health care professionals and patients; characterize, evaluate, and refine clinical processes; develop, implement, and refine clinical decision support systems; and lead or participate in the procurement, customization, development, \nimplementation, management, evaluation, and continuous improvement of clinical information systems.\n
\n
\n", "
Clinical Informatics
\n", "", "
Active
\n", "", "
V183414
\n", "
207ZC0008X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251508
\n", "
\n
\n\n
\n"], ["1261", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Geriatric Medicine: Family Practice
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110901
\n", "
203BG0301Y
\n", "", "", "", "", "
YES
\n", "
5254286
\n", "
\n
\n\n
\n"], ["1262", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Genetics, Clinical (M.D.)
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111904
\n", "
203BG0201Y
\n", "", "", "", "", "
YES
\n", "
5254271
\n", "
\n
\n\n
\n"], ["1263", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Immunology, Clinical & Laboratory: Pediatric
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114202
\n", "
203BI0007N
\n", "", "", "", "", "
YES
\n", "
5254328
\n", "
\n
\n\n
\n"], ["1264", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Immunology, Clinical & Laboratory
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118317
\n", "
203BI0001N
\n", "", "", "", "", "
YES
\n", "
5254310
\n", "
\n
\n\n
\n"], ["1265", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Medical-Surgical
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V070935
\n", "
163WM0705X
\n", "", "", "", "", "
YES
\n", "
5252948
\n", "
\n
\n\n
\n"], ["1266", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Geriatric Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118314
\n", "
203BG0300N
\n", "", "", "", "", "
YES
\n", "
5254283
\n", "
\n
\n\n
\n"], ["1267", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Cardiac Rehabilitation
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V070802
\n", "
163WC3500X
\n", "", "", "", "", "
YES
\n", "
5252891
\n", "
\n
\n\n
\n"], ["1268", "Respiratory, Rehabilitative and Restorative Service", "", "
Respiratory Therapist
\n", "", "", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V130508
\n", "
225900000N
\n", "", "", "", "", "
YES
\n", "
5255402
\n", "
\n
\n\n
\n"], ["1269", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Technologist
\n", "", "", "
Radiographer
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150313
\n", "
2471R1500N
\n", "", "", "", "", "
YES
\n", "
5255963
\n", "
\n
\n\n
\n"], ["127", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Forensic Psychiatry
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114804
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253965
\n", "
\n
\n\n
\n"], ["1270", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "
Perfusionist
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150207
\n", "
246VP3600N
\n", "", "", "", "", "
YES
\n", "
5255930
\n", "
\n
\n\n
\n"], ["1271", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Hematology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118316
\n", "
203BH0000Y
\n", "", "", "", "", "
YES
\n", "
5254298
\n", "
\n
\n\n
\n"], ["1272", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nA Hypertension Specialist is a physician who concentrates on all aspects of the diagnosis and treatment of hypertension.\n
\n
\n", "
Hypertension Specialist
\n", "", "
Active
\n", "", "
V181026
\n", "
207RH0005X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251679
\n", "
\n
\n\n
\n"], ["1273", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Immunopathology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113711
\n", "
203BI0100Y
\n", "", "", "", "", "
YES
\n", "
5254343
\n", "
\n
\n\n
\n"], ["1274", "Physician Assistants & Advanced Practice Nursing", "", "
Clinical Nurse Specialist
\n", "", "", "
Neonatal, High-Risk
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V100316
\n", "
364SN0004N
\n", "", "", "", "", "
YES
\n", "
5253329
\n", "
\n
\n\n
\n"], ["1275", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Internal Medicine: Pulmonary Critical Care Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111521
\n", "
203BI0010X
\n", "", "", "", "", "
YES
\n", "
5254337
\n", "
\n
\n\n
\n"], ["1276", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "
Vascular
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150703
\n", "
246VV0100N
\n", "", "", "", "", "
YES
\n", "
5255936
\n", "
\n
\n\n
\n"], ["1277", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Anaplastologist
\n", "", "
\nAn anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. \nCertification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).\n
\n
\n", "", "", "
Active
\n", "", "
V183418
\n", "
229N00000X
\n", "", "
57
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255327
\n", "
\n
\n\n
\n"], ["1278", "Technologists, Technicians & Other Technical Service", "", "
Perfusionist
\n", "", "", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V151002
\n", "
246ZF0200X
\n", "", "", "", "", "
YES
\n", "
5255555
\n", "
\n
\n\n
\n"], ["1279", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "
Cardiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150204
\n", "
246VC0100N
\n", "", "", "", "", "
YES
\n", "
5255915
\n", "
\n
\n\n
\n"], ["128", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry, Geriatric
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114805
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253968
\n", "
\n
\n\n
\n"], ["1280", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "
\n(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified \nspecialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners \nvary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse \npractitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.\n
\n
\n", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V100601
\n", "
363L00000X
\n", "", "", "", "", "
YES
\n", "
5253350
\n", "
\n
\n\n
\n"], ["1281", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Gynecology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118315
\n", "
203BG0400N
\n", "", "", "", "", "
YES
\n", "
5254295
\n", "
\n
\n\n
\n"], ["1282", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Hematology: Internal Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111509
\n", "
203BH0001Y
\n", "", "", "", "", "
YES
\n", "
5254301
\n", "
\n
\n\n
\n"], ["1283", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Genetics, Clinical Molecular
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111905
\n", "
203BG0203Y
\n", "", "", "", "", "
YES
\n", "
5254277
\n", "
\n
\n\n
\n"], ["1284", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Internal Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111500
\n", "
203BI0300Y
\n", "", "", "", "", "
YES
\n", "
5254349
\n", "
\n
\n\n
\n"], ["1285", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
General Practice
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V070909
\n", "
163WG0000X
\n", "", "", "", "", "
YES
\n", "
5252912
\n", "
\n
\n\n
\n"], ["1286", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Geriatric Medicine: General Practice
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111100
\n", "
203BG0302Y
\n", "", "", "", "", "
YES
\n", "
5254289
\n", "
\n
\n\n
\n"], ["1287", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nSpecialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, \nor mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.\n
\n
\n", "
Advanced Heart Failure and Transplant Cardiology
\n", "", "
Active
\n", "", "
V181027
\n", "
207RA0001X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251634
\n", "
\n
\n\n
\n"], ["1288", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "
Cardiopulmonary-Cardiovascular
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150205
\n", "
246VC2400N
\n", "", "", "", "", "
YES
\n", "
5255918
\n", "
\n
\n\n
\n"], ["1289", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Physical Therapy Assistant
\n", "", "
\n(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on \nPostsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures \nand related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of \ndaily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. \nCurrently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical \ntherapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.\n
\n
\n", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V130400
\n", "
225200000X
\n", "", "", "", "", "
YES
\n", "
5255147
\n", "
\n
\n\n
\n"], ["129", "Physicians (M.D. and D.O.)", "", "
Psychiatry and Neurology
\n", "", "", "
Neurology
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V114806
\n", "", "
P53
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253971
\n", "
\n
\n\n
\n"], ["1290", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Technologist
\n", "", "", "
Dosimetrist, Medical
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150316
\n", "
2471D1300N
\n", "", "", "", "", "
YES
\n", "
5255951
\n", "
\n
\n\n
\n"], ["1291", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Developmental Therapist
\n", "", "
\nA Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education \nexperiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's \nglobal development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for \nthe child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve \nthe quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.\n
\n
\n", "", "", "
Active
\n", "", "
V183416
\n", "
222Q00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255072
\n", "
\n
\n\n
\n"], ["1292", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Internal Medicine: Interventional Cardiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111518
\n", "
203BI0011X
\n", "", "", "", "", "
YES
\n", "
5254340
\n", "
\n
\n\n
\n"], ["1293", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Geriatric Medicine: Internal Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111508
\n", "
203BG0303Y
\n", "", "", "", "", "
YES
\n", "
5254292
\n", "
\n
\n\n
\n"], ["1294", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "
Cardiovascular: Vascular Technology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150702
\n", "
246VC2903N
\n", "", "", "", "", "
YES
\n", "
5255927
\n", "
\n
\n\n
\n"], ["1295", "Technologists, Technicians & Other Technical Service Providers", "", "
Pathology
\n", "", "
\nAn individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.\n
\n
\n", "
Clinical Laboratory Director, Non-physician
\n", "", "
Active
\n", "", "
V183413
\n", "
247ZC0005X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255756
\n", "
\n
\n\n
\n"], ["1296", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Other
\n", "", "", "
Virology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V151004
\n", "
246ZV0500N
\n", "", "", "", "", "
YES
\n", "
5255948
\n", "
\n
\n\n
\n"], ["1297", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Physical Therapy Assistant
\n", "", "
\n(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on \nPostsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures \nand related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of \ndaily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. \nCurrently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical \ntherapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.\n
\n
\n", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V130216
\n", "
225200000X
\n", "", "", "", "", "
YES
\n", "
5255141
\n", "
\n
\n\n
\n"], ["1298", "Respiratory, Rehabilitative and Restorative Service", "", "
Occupational Therapist
\n", "", "", "
Case Management
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V130104
\n", "
225XC0400N
\n", "", "", "", "", "
YES
\n", "
5255408
\n", "
\n
\n\n
\n"], ["1299", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150704
\n", "
246V00000X
\n", "", "", "", "", "
YES
\n", "
5255912
\n", "
\n
\n\n
\n"], ["13", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Dermatopathology: Dermatology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110702
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253563
\n", "
\n
\n\n
\n"], ["130", "Physicians (M.D. and D.O.)", "", "
Psychiatry and Neurology
\n", "", "", "
Neurology, Child
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V114807
\n", "", "
P55
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253974
\n", "
\n
\n\n
\n"], ["1300", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Infectious Diseases
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111510
\n", "
203BI0200Y
\n", "", "", "", "", "
YES
\n", "
5254346
\n", "
\n
\n\n
\n"], ["1301", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Genetics, Clinical Biochemical
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111901
\n", "
203BG0202Y
\n", "", "", "", "", "
YES
\n", "
5254274
\n", "
\n
\n\n
\n"], ["1302", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Infertility
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118320
\n", "
203BI0400N
\n", "", "", "", "", "
YES
\n", "
5254352
\n", "
\n
\n\n
\n"], ["1303", "Physician Assistants & Advanced Practice Nursing", "", "
Clinical Nurse Specialist
\n", "", "", "
Rural Health
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V100332
\n", "
364SR1300N
\n", "", "", "", "", "
YES
\n", "
5253332
\n", "
\n
\n\n
\n"], ["1304", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Immunology, Clinical & Laboratory: Allergy & Immunology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110301
\n", "
203BI0005N
\n", "", "", "", "", "
YES
\n", "
5254322
\n", "
\n
\n\n
\n"], ["1305", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "
Cardiovascular: Noninvasive Technology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150701
\n", "
246VC2902N
\n", "", "", "", "", "
YES
\n", "
5255924
\n", "
\n
\n\n
\n"], ["1306", "Respiratory, Rehabilitative and Restorative Service", "", "
Respiratory Therapist
\n", "", "", "
Perinatal
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V130511
\n", "
2259P1700N
\n", "", "", "", "", "
YES
\n", "
5255405
\n", "
\n
\n\n
\n"], ["1307", "Technologists, Technicians and Other Technical Service", "", "
Technician, Cardiology
\n", "", "", "
Cardiographic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150801
\n", "
246WC3000N
\n", "", "", "", "", "
YES
\n", "
5255939
\n", "
\n
\n\n
\n"], ["1308", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Registered
\n", "", "
\nA Registered Respiratory Therapist (RRT) is an advanced therapist who has passed standardized written and clinical simulation examinations administered by the National Board for Respiratory Care (NBRC). In addition, to the certified therapist (CRT) \nentry level skills, RRTs have advanced education and training in patient assessment, in the development and modification of patient care plans, and in assuring the appropriate utilization of respiratory care resources. An RRT is a graduate of \nan associate or baccalaureate degree producing educational programs approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of that \nlicense.\n
\n
\n", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V130508
\n", "
227900000X
\n", "", "", "", "", "
YES
\n", "
5255282
\n", "
\n
\n\n
\n"], ["1309", "Pharmacy Service", "", "
Technician
\n", "", "", "
Pharmacy
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V090200
\n", "
1847P3400N
\n", "", "", "", "", "
YES
\n", "
5253272
\n", "
\n
\n\n
\n"], ["131", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114808
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253977
\n", "
\n
\n\n
\n"], ["1310", "Allopathic & Osteopathic Physicians", "", "
Ophthalmology
\n", "", "
\nA physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and \nlacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.\n
\n
\n", "
Ophthalmic Plastic and Reconstructive Surgery
\n", "", "
Active
\n", "", "
V181901
\n", "
207WX0200X
\n", "", "
18
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251796
\n", "
\n
\n\n
\n"], ["1311", "Chiropractic Providers", "", "
Chiropractor
\n", "", "
\nA special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.\n
\n
\n", "
Independent Medical Examiner
\n", "", "
Active
\n", "", "
V183404
\n", "
111NI0013X
\n", "", "
35
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252435
\n", "
\n
\n\n
\n"], ["1312", "Other Service", "", "
Registered Nurse
\n", "", "", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V082200
\n", "
173W00000X
\n", "", "", "", "", "
YES
\n", "
5253143
\n", "
\n
\n\n
\n"], ["1313", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience \nin the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment \nand prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve \nthe healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.\n
\n
\n", "
Sports Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V182518
\n", "
2080S0010X
\n", "", "
37
\n", "", "", "
YES
\n", "
5251898
\n", "
\n
\n\n
\n"], ["1314", "Behavioral Health & Social Service Providers", "", "
Behavior Technician
\n", "", "
\nThe behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through \nlicensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain \ntypes of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.\n
\n
\n", "", "", "
Active
\n", "", "
V010703
\n", "
106S00000X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252408
\n", "
\n
\n\n
\n"], ["1315", "Other Service Providers", "", "
Naprapath
\n", "", "
\nNaprapathy means a branch of medicine that focuses on the evaluation and treatment of neuron-muscular conditions. Doctors of naprapathy are connective tissue specialists. Education and training are defined through individual states' licensing/certification \nrequirements.\n
\n
\n", "", "", "
Active
\n", "", "
V183410
\n", "
172P00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253185
\n", "
\n
\n\n
\n"], ["1316", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Otorhinolaryngology & Facial Plastic Surgery
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113600
\n", "
203BS0130Y
\n", "", "", "", "", "
YES
\n", "
5254970
\n", "
\n
\n\n
\n"], ["1317", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Gastroenterology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111507
\n", "
203BG0100Y
\n", "", "", "", "", "
YES
\n", "
5254850
\n", "
\n
\n\n
\n"], ["1318", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115300
\n", "
203BR0200Y
\n", "", "", "", "", "
YES
\n", "
5254613
\n", "
\n
\n\n
\n"], ["1319", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry, Geriatric
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114805
\n", "
203BP0805Y
\n", "", "", "", "", "
YES
\n", "
5254568
\n", "
\n
\n\n
\n"], ["132", "Physicians (M.D. and D.O.)", "", "
Psychoanalysis
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V115000
\n", "", "
A, Try V11----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253989
\n", "
\n
\n\n
\n"], ["1320", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Head & Neck
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V116200
\n", "
203BS0108N
\n", "", "", "", "", "
YES
\n", "
5254916
\n", "
\n
\n\n
\n"], ["1321", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Forensic Pathology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113709
\n", "
203BF0201Y
\n", "", "", "", "", "
YES
\n", "
5254841
\n", "
\n
\n\n
\n"], ["1322", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Occupational Medicine: Preventive Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114603
\n", "
203BX0104Y
\n", "", "", "", "", "
YES
\n", "
5254676
\n", "
\n
\n\n
\n"], ["1323", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pharmacology, Clinical
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114400
\n", "
203BP2600N
\n", "", "", "", "", "
YES
\n", "
5254592
\n", "
\n
\n\n
\n"], ["1324", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Hand: Plastic Surgery
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V117401
\n", "
203BS0107Y
\n", "", "", "", "", "
YES
\n", "
5254913
\n", "
\n
\n\n
\n"], ["1325", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Underseas Medicine: Preventive Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114606
\n", "
203BU0300Y
\n", "", "", "", "", "
YES
\n", "
5254655
\n", "
\n
\n\n
\n"], ["1326", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Otology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113400
\n", "
203BX0900N
\n", "", "", "", "", "
YES
\n", "
5254706
\n", "
\n
\n\n
\n"], ["1327", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Orthopedic, Adult Reconstructive
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V116700
\n", "
203BS0114N
\n", "", "", "", "", "
YES
\n", "
5254928
\n", "
\n
\n\n
\n"], ["1328", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Obstetrics & Gynecology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V112900
\n", "
203BX0001Y
\n", "", "", "", "", "
YES
\n", "
5254661
\n", "
\n
\n\n
\n"], ["1329", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology, Chemical
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113705
\n", "
203BP0104Y
\n", "", "", "", "", "
YES
\n", "
5254481
\n", "
\n
\n\n
\n"], ["133", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiation Therapy
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115100
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253992
\n", "
\n
\n\n
\n"], ["1330", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Nephrology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114212
\n", "
203BP0210Y
\n", "", "", "", "", "
YES
\n", "
5254520
\n", "
\n
\n\n
\n"], ["1331", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Preventive Medicine: Sports Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114607
\n", "
203BS0009X
\n", "", "", "", "", "
YES
\n", "
5254889
\n", "
\n
\n\n
\n"], ["1332", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Hematology Oncology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114210
\n", "
203BP0207Y
\n", "", "", "", "", "
YES
\n", "
5254511
\n", "
\n
\n\n
\n"], ["1333", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiology: Musculoskeletal Radiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115309
\n", "
203BR0005X
\n", "", "", "", "", "
YES
\n", "
5254610
\n", "
\n
\n\n
\n"], ["1334", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Adolescent Only, Under 21
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118306
\n", "
203BA0502N
\n", "", "", "", "", "
YES
\n", "
5254757
\n", "
\n
\n\n
\n"], ["1335", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiology: Abdominal Radiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115308
\n", "
203BR0004X
\n", "", "", "", "", "
YES
\n", "
5254607
\n", "
\n
\n\n
\n"], ["1336", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Oncology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118338
\n", "
203BX0200Y
\n", "", "", "", "", "
YES
\n", "
5254682
\n", "
\n
\n\n
\n"], ["1337", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Adolescent Medicine: Pediatrics
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114201
\n", "
203BA0003Y
\n", "", "", "", "", "
YES
\n", "
5254727
\n", "
\n
\n\n
\n"], ["1338", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Oncology, Medical
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111511
\n", "
203BX0202Y
\n", "", "", "", "", "
YES
\n", "
5254688
\n", "
\n
\n\n
\n"], ["1339", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Physical Medicine & Rehabilitation
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114500
\n", "
203BP0400Y
\n", "", "", "", "", "
YES
\n", "
5254544
\n", "
\n
\n\n
\n"], ["134", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115300
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253998
\n", "
\n
\n\n
\n"], ["1340", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Endocrinology, Reproductive
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V112904
\n", "
203BE0102Y
\n", "", "", "", "", "
YES
\n", "
5254835
\n", "
\n
\n\n
\n"], ["1341", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Endocrinology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118313
\n", "
203BE0100Y
\n", "", "", "", "", "
YES
\n", "
5254829
\n", "
\n
\n\n
\n"], ["1342", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Legal Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111610
\n", "
203BL0001X
\n", "", "", "", "", "
YES
\n", "
5254358
\n", "
\n
\n\n
\n"], ["1343", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, General
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V116100
\n", "
203BS0100Y
\n", "", "", "", "", "
YES
\n", "
5254895
\n", "
\n
\n\n
\n"], ["1344", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiology, Vascular & Interventional
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115307
\n", "
203BR0204N
\n", "", "", "", "", "
YES
\n", "
5254625
\n", "
\n
\n\n
\n"], ["1345", "Behavioral Health and Social Service", "", "
Psychoanalyst
\n", "", "", "
Associate
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V010302
\n", "
103SA1400N
\n", "", "", "", "", "
YES
\n", "
5252414
\n", "
\n
\n\n
\n"], ["1346", "Behavioral Health and Social Service", "", "
Psychoanalyst
\n", "", "", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V010300
\n", "
103S00000N
\n", "", "", "", "", "
YES
\n", "
5252411
\n", "
\n
\n\n
\n"], ["1347", "Behavioral Health and Social Service", "", "
Psychoanalyst
\n", "", "", "
Affiliate
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V010301
\n", "
103SA1800N
\n", "", "", "", "", "
YES
\n", "
5252417
\n", "
\n
\n\n
\n"], ["1348", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Neurological
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V116400
\n", "
203BS0110Y
\n", "", "", "", "", "
YES
\n", "
5254919
\n", "
\n
\n\n
\n"], ["1349", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Public Health: Preventive Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118322
\n", "
203BP0903Y
\n", "", "", "", "", "
YES
\n", "
5254577
\n", "
\n
\n\n
\n"], ["135", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiology, Diagnostic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115301
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254001
\n", "
\n
\n\n
\n"], ["1350", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Hand
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115704
\n", "
203BS0105Y
\n", "", "", "", "", "
YES
\n", "
5254907
\n", "
\n
\n\n
\n"], ["1351", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry & Neurology: Pain Management
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114810
\n", "
203BP0014X
\n", "", "", "", "", "
YES
\n", "
5254466
\n", "
\n
\n\n
\n"], ["1352", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Cardiac Electrophysiology, Clinical
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118310
\n", "
203BC0001Y
\n", "", "", "", "", "
YES
\n", "
5254778
\n", "
\n
\n\n
\n"], ["1353", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Anesthesiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110400
\n", "
203BA0300Y
\n", "", "", "", "", "
YES
\n", "
5254748
\n", "
\n
\n\n
\n"], ["1354", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Ophthalmology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113000
\n", "
203BX0300Y
\n", "", "", "", "", "
YES
\n", "
5254691
\n", "
\n
\n\n
\n"], ["1355", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Orthopedic Surgery: Sports Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118342
\n", "
203BX0005X
\n", "", "", "", "", "
YES
\n", "
5254667
\n", "
\n
\n\n
\n"], ["1356", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Facial Plastic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118334
\n", "
203BS0123Y
\n", "", "", "", "", "
YES
\n", "
5254952
\n", "
\n
\n\n
\n"], ["1357", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Orthopedic, Musculoskeletal Oncology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V116900
\n", "
203BS0115N
\n", "", "", "", "", "
YES
\n", "
5254931
\n", "
\n
\n\n
\n"], ["1358", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Allergy
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110200
\n", "
203BA0200N
\n", "", "", "", "", "
YES
\n", "
5254739
\n", "
\n
\n\n
\n"], ["1359", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatrics: Neurodevelopmental Disabilities
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114001
\n", "
203BP0008X
\n", "", "", "", "", "
YES
\n", "
5254451
\n", "
\n
\n\n
\n"], ["136", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Nuclear Radiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115302
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254004
\n", "
\n
\n\n
\n"], ["1360", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Plastic Surgery: Craniofacial Surgery
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V117402
\n", "
203BP0002X
\n", "", "", "", "", "
YES
\n", "
5254424
\n", "
\n
\n\n
\n"], ["1361", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neuropathology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113713
\n", "
203BN0500Y
\n", "", "", "", "", "
YES
\n", "
5254394
\n", "
\n
\n\n
\n"], ["1362", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neurological Surgery: Pediatric Neurological Surgery
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V112101
\n", "
203BN0006X
\n", "", "", "", "", "
YES
\n", "
5254376
\n", "
\n
\n\n
\n"], ["1363", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Radiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114300
\n", "
203BP0215N
\n", "", "", "", "", "
YES
\n", "
5254535
\n", "
\n
\n\n
\n"], ["1364", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Physical Medicine & Rehabilitation: Sports Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114503
\n", "
203BS0010X
\n", "", "", "", "", "
YES
\n", "
5254892
\n", "
\n
\n\n
\n"], ["1365", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Public Health & General Preventive Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114605
\n", "
203BP0901N
\n", "", "", "", "", "
YES
\n", "
5254574
\n", "
\n
\n\n
\n"], ["1366", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Cardiovascular
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115800
\n", "
203BS0133N
\n", "", "", "", "", "
YES
\n", "
5254973
\n", "
\n
\n\n
\n"], ["1367", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pulmonary Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111514
\n", "
203BP1003Y
\n", "", "", "", "", "
YES
\n", "
5254583
\n", "
\n
\n\n
\n"], ["1368", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Abdominal
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118333
\n", "
203BS0104N
\n", "", "", "", "", "
YES
\n", "
5254904
\n", "
\n
\n\n
\n"], ["1369", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neonatal-Perinatal Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114204
\n", "
203BN0001Y
\n", "", "", "", "", "
YES
\n", "
5254373
\n", "
\n
\n\n
\n"], ["137", "Physicians (M.D. and D.O.)", "", "
Radiology
\n", "", "", "
Pediatric Radiology
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V115303
\n", "", "
P95
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254007
\n", "
\n
\n\n
\n"], ["1370", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Pulmonology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114213
\n", "
203BP0214Y
\n", "", "", "", "", "
YES
\n", "
5254532
\n", "
\n
\n\n
\n"], ["1371", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Rehabilitation Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115400
\n", "
203BR0402Y
\n", "", "", "", "", "
YES
\n", "
5254856
\n", "
\n
\n\n
\n"], ["1372", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neonatology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118321
\n", "
203BN0100Y
\n", "", "", "", "", "
YES
\n", "
5254379
\n", "
\n
\n\n
\n"], ["1373", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Urology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118200
\n", "
203BU0100Y
\n", "", "", "", "", "
YES
\n", "
5254652
\n", "
\n
\n\n
\n"], ["1374", "Other Service Providers", "", "
Military Health Care Provider
\n", "", "
\nA Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in \na variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.\n
\n
\n", "
Independent Duty Corpsman
\n", "", "
Active
\n", "", "
V183408
\n", "
1710I1002X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253155
\n", "
\n
\n\n
\n"], ["1375", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity \nmedicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as \ndietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of \nbariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.\n
\n
\n", "
Obesity Medicine
\n", "", "
Active
\n", "", "
V182523
\n", "
2080B0002X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251844
\n", "
\n
\n\n
\n"], ["1376", "Other Service Providers", "", "
Prevention Professional
\n", "", "
\nPrevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention.  The goal of the program is to reduce the risk of relapse, \ninjury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the \npopulation of patients with whom they work.\n
\n
\n", "", "", "
Active
\n", "", "
V081906
\n", "
405300000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253257
\n", "
\n
\n\n
\n"], ["1377", "Allopathic & Osteopathic Physicians", "", "
Ophthalmology
\n", "", "
\nAn ophthalmologist who specializes in the treatment of intraocular inflammation, scleritis, keratitis and infectious disorders affecting the eye and inflammatory disorders of the adnexa and/or orbit.\n
\n
\n", "
Uveitis and Ocular Inflammatory Disease
\n", "", "
Active
\n", "", "
V113004
\n", "
207WX0108X
\n", "", "
18
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251793
\n", "
\n
\n\n
\n"], ["1378", "Dental Providers", "", "
Dentist
\n", "", "
\nOral Medicine is the specialty of dentistry responsible for the oral health care of medically complex patients and for the diagnosis and management of medically related diseases, disorders and conditions affecting the oral and maxillofacial region. \nOral Medicine specialists have training and expertise in the diagnosis and management of oral and mucosal diseases, medical management of maxillofacial pathologies from hematology and oncology, organ transplant services, autoimmune disorders, \nincluding acute and chronic pain conditions of oral & maxillofacial region. Oral Medicine specialists co-manage oral and maxillofacial conditions and diseases in collaboration with medical specialists and other dentists in hospitals and outpatient \nmedical clinics, particularly in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention.\n
\n
\n", "
Oral Medicine
\n", "", "
Active
\n", "", "
V183405
\n", "
125Q00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252516
\n", "
\n
\n\n
\n"], ["1379", "Allopathic & Osteopathic Physicians", "", "
Preventive Medicine
\n", "", "
\nPhysicians who practice Clinical Informatics collaborate with other health care and information technology professionals to analyze, design, implement and evaluate information and communication systems that enhance individual and population health \noutcomes, improve patient care, and strengthen the clinician-patient relationship. Clinical Informaticians use their knowledge of patient care combined with their understanding of informatics concepts, methods, and tools to: assess information \nand knowledge needs of health care professionals and patients; characterize, evaluate, and refine clinical processes; develop, implement, and refine clinical decision support systems; and lead or participate in the procurement, customization, development, \nimplementation, management, evaluation, and continuous improvement of clinical information systems.\n
\n
\n", "
Clinical Informatics
\n", "", "
Active
\n", "", "
V183415
\n", "
2083C0008X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251952
\n", "
\n
\n\n
\n"], ["138", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiation Oncology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115304
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254010
\n", "
\n
\n\n
\n"], ["1380", "Allopathic & Osteopathic Physicians", "", "
Radiology
\n", "", "
\nA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.\n
\n
\n", "
Diagnostic Radiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115500
\n", "
2085R0202X
\n", "", "", "", "", "
YES
\n", "
5252066
\n", "
\n
\n\n
\n"], ["1381", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Age Specific, Greater than 1 Year Old
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118307
\n", "
203BA0503N
\n", "", "", "", "", "
YES
\n", "
5254760
\n", "
\n
\n\n
\n"], ["1382", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Orthopedic, Pediatric
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V117000
\n", "
203BS0116N
\n", "", "", "", "", "
YES
\n", "
5254934
\n", "
\n
\n\n
\n"], ["1383", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Dermatopathology: Dermatology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110702
\n", "
203BD0901N
\n", "", "", "", "", "
YES
\n", "
5254820
\n", "
\n
\n\n
\n"], ["1384", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Critical Care Medicine: OB/GYN
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V112901
\n", "
203BC0203Y
\n", "", "", "", "", "
YES
\n", "
5254793
\n", "
\n
\n\n
\n"], ["1385", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry & Neurology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114800
\n", "
203BP0801Y
\n", "", "", "", "", "
YES
\n", "
5254556
\n", "
\n
\n\n
\n"], ["1386", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatrics: Developmental - Behavioral Pediatrics
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114002
\n", "
203BP0006X
\n", "", "", "", "", "
YES
\n", "
5254445
\n", "
\n
\n\n
\n"], ["1387", "Physicians (Other Roles)", "", "
Physician/Osteopath
\n", "", "", "
Supplier
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V160102
\n", "
353BS0900N
\n", "", "", "", "", "
YES
\n", "
5254994
\n", "
\n
\n\n
\n"], ["1388", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Rheumatology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111515
\n", "
203BR0500Y
\n", "", "", "", "", "
YES
\n", "
5254859
\n", "
\n
\n\n
\n"], ["1389", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Physical Medicine and Rehabilitation: Spinal Cord Injury
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114504
\n", "
203BP0004X
\n", "", "", "", "", "
YES
\n", "
5254439
\n", "
\n
\n\n
\n"], ["139", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiological Physics
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115305
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254013
\n", "
\n
\n\n
\n"], ["1390", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgical Critical Care: Surgery
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115705
\n", "
203BS0102Y
\n", "", "", "", "", "
YES
\n", "
5254901
\n", "
\n
\n\n
\n"], ["1391", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Medical Genetics: Molecular Genetic Pathology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111906
\n", "
203BM0001X
\n", "", "", "", "", "
YES
\n", "
5254361
\n", "
\n
\n\n
\n"], ["1392", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Blood Banking
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118309
\n", "
203BB0000N
\n", "", "", "", "", "
YES
\n", "
5254766
\n", "
\n
\n\n
\n"], ["1393", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Otolaryngology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113300
\n", "
203BX0500Y
\n", "", "", "", "", "
YES
\n", "
5254694
\n", "
\n
\n\n
\n"], ["1394", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiation Oncology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115304
\n", "
203BR0001Y
\n", "", "", "", "", "
YES
\n", "
5254601
\n", "
\n
\n\n
\n"], ["1395", "Physicians (Other Roles)", "", "
Physician/Osteopath (Other Roles)
\n", "", "", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V160100
\n", "
353B00000X
\n", "", "", "", "", "
YES
\n", "
5254988
\n", "
\n
\n\n
\n"], ["1396", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, General Vascular
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115701
\n", "
203BS0129Y
\n", "", "", "", "", "
YES
\n", "
5254967
\n", "
\n
\n\n
\n"], ["1397", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Adolescent Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118301
\n", "
203BA0000Y
\n", "", "", "", "", "
YES
\n", "
5254718
\n", "
\n
\n\n
\n"], ["1398", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Orthopedic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118340
\n", "
203BX0800N
\n", "", "", "", "", "
YES
\n", "
5254703
\n", "
\n
\n\n
\n"], ["1399", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Nuclear Medicine, In Vivo & In Vitro
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V112601
\n", "
203BN0903Y
\n", "", "", "", "", "
YES
\n", "
5254412
\n", "
\n
\n\n
\n"], ["14", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Emergency Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110800
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253569
\n", "
\n
\n\n
\n"], ["140", "Physicians (M.D. and D.O.)", "", "
Radiology
\n", "", "", "
Radiology
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V115306
\n", "", "
P134
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254016
\n", "
\n
\n\n
\n"], ["1400", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Oncology, Gynecologic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V112902
\n", "
203BX0201Y
\n", "", "", "", "", "
YES
\n", "
5254685
\n", "
\n
\n\n
\n"], ["1401", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radium Therapy
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118328
\n", "
203BR0300N
\n", "", "", "", "", "
YES
\n", "
5254631
\n", "
\n
\n\n
\n"], ["1402", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114808
\n", "
203BP0800Y
\n", "", "", "", "", "
YES
\n", "
5254553
\n", "
\n
\n\n
\n"], ["1403", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiology, Diagnostic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115301
\n", "
203BR0202Y
\n", "", "", "", "", "
YES
\n", "
5254619
\n", "
\n
\n\n
\n"], ["1404", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Colon & Rectal Surgery
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115900
\n", "
203BS0101Y
\n", "", "", "", "", "
YES
\n", "
5254898
\n", "
\n
\n\n
\n"], ["1405", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Cytogenetics, Clinical
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111903
\n", "
203BC0300Y
\n", "", "", "", "", "
YES
\n", "
5254796
\n", "
\n
\n\n
\n"], ["1406", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology: Selective Pathology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113715
\n", "
203BP0003X
\n", "", "", "", "", "
YES
\n", "
5254436
\n", "
\n
\n\n
\n"], ["1407", "Allopathic & Osteopathic Physicians", "", "
Ophthalmology
\n", "", "
\nAn ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.\n
\n
\n", "
Retina Specialist
\n", "", "
Active
\n", "", "
V113003
\n", "
207WX0107X
\n", "", "
18
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251790
\n", "
\n
\n\n
\n"], ["1408", "Pharmacy Service", "", "
Technician
\n", "", "", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V090201
\n", "
184700000X
\n", "", "", "", "", "
YES
\n", "
5253269
\n", "
\n
\n\n
\n"], ["1409", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing \ncompetence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.\n
\n
\n", "
Prescribing (Medical)
\n", "", "
Active
\n", "", "
V183403
\n", "
103TP0016X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252366
\n", "
\n
\n\n
\n"], ["141", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiology, Vascular & Interventional
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115307
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254019
\n", "
\n
\n\n
\n"], ["1410", "Allopathic & Osteopathic Physicians", "", "
Preventive Medicine
\n", "", "
\nA physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity \nmedicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as \ndietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of \nbariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.\n
\n
\n", "
Obesity Medicine
\n", "", "
Active
\n", "", "
V182808
\n", "
2083B0002X
\n", "", "
84
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251949
\n", "
\n
\n\n
\n"], ["1411", "Other Service Providers", "", "
Military Health Care Provider
\n", "", "
\nActive duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.\n
\n
\n", "", "", "
Active
\n", "", "
V183407
\n", "
171000000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253152
\n", "
\n
\n\n
\n"], ["1412", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Allergy & Immunology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113800
\n", "
203BP0201Y
\n", "", "", "", "", "
YES
\n", "
5254493
\n", "
\n
\n\n
\n"], ["1413", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Orthopedic Surgery: Foot and Ankle Orthopedics
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118341
\n", "
203BX0004X
\n", "", "", "", "", "
YES
\n", "
5254664
\n", "
\n
\n\n
\n"], ["1414", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neurology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V112100
\n", "
203BN0400Y
\n", "", "", "", "", "
YES
\n", "
5254388
\n", "
\n
\n\n
\n"], ["1415", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Rheumatology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114215
\n", "
203BP0216Y
\n", "", "", "", "", "
YES
\n", "
5254538
\n", "
\n
\n\n
\n"], ["1416", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Adolescent Only, Under 16
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118305
\n", "
203BA0501N
\n", "", "", "", "", "
YES
\n", "
5254754
\n", "
\n
\n\n
\n"], ["1417", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113700
\n", "
203BP0100Y
\n", "", "", "", "", "
YES
\n", "
5254469
\n", "
\n
\n\n
\n"], ["1418", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Neurology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114000
\n", "
203BP0211Y
\n", "", "", "", "", "
YES
\n", "
5254523
\n", "
\n
\n\n
\n"], ["1419", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Sports Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118332
\n", "
203BS0000Y
\n", "", "", "", "", "
YES
\n", "
5254871
\n", "
\n
\n\n
\n"], ["142", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology, Radioisotopic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115200
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253995
\n", "
\n
\n\n
\n"], ["1420", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Emergency Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114207
\n", "
203BP0204Y
\n", "", "", "", "", "
YES
\n", "
5254502
\n", "
\n
\n\n
\n"], ["1421", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Nephrology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111512
\n", "
203BN0300Y
\n", "", "", "", "", "
YES
\n", "
5254385
\n", "
\n
\n\n
\n"], ["1422", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Family Practice
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110900
\n", "
203BF0100Y
\n", "", "", "", "", "
YES
\n", "
5254838
\n", "
\n
\n\n
\n"], ["1423", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Dermatopathology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113708
\n", "
203BD0900Y
\n", "", "", "", "", "
YES
\n", "
5254817
\n", "
\n
\n\n
\n"], ["1424", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Cardiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110600
\n", "
203BC0100Y
\n", "", "", "", "", "
YES
\n", "
5254781
\n", "
\n
\n\n
\n"], ["1425", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Sports Medicine: Emergency Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110803
\n", "
203BS0001Y
\n", "", "", "", "", "
YES
\n", "
5254874
\n", "
\n
\n\n
\n"], ["1426", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiology, Therapeutic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118327
\n", "
203BR0203N
\n", "", "", "", "", "
YES
\n", "
5254622
\n", "
\n
\n\n
\n"], ["1427", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Nuclear Imaging & Therapy
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V112500
\n", "
203BN0902Y
\n", "", "", "", "", "
YES
\n", "
5254409
\n", "
\n
\n\n
\n"], ["1428", "Physicians (Other Roles)", "", "
Physician/Osteopath
\n", "", "", "
Laboratory Service Provider
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V160101
\n", "
353BL0002N
\n", "", "", "", "", "
YES
\n", "
5254991
\n", "
\n
\n\n
\n"], ["1429", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Roentgenology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118330
\n", "
203BR0700Y
\n", "", "", "", "", "
YES
\n", "
5254865
\n", "
\n
\n\n
\n"], ["143", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Rehabilitation Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115400
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254028
\n", "
\n
\n\n
\n"], ["1430", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Obstetrics
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V112800
\n", "
203BX0000N
\n", "", "", "", "", "
YES
\n", "
5254658
\n", "
\n
\n\n
\n"], ["1431", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Laboratory Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111600
\n", "
203BL0000Y
\n", "", "", "", "", "
YES
\n", "
5254355
\n", "
\n
\n\n
\n"], ["1432", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Endocrinology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114208
\n", "
203BP0205Y
\n", "", "", "", "", "
YES
\n", "
5254505
\n", "
\n
\n\n
\n"], ["1433", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Roentgenology, Diagnostic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118331
\n", "
203BR0701Y
\n", "", "", "", "", "
YES
\n", "
5254868
\n", "
\n
\n\n
\n"], ["1434", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry, Addiction
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114801
\n", "
203BP0802Y
\n", "", "", "", "", "
YES
\n", "
5254559
\n", "
\n
\n\n
\n"], ["1435", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiation Therapy
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115100
\n", "
203BR0002Y
\n", "", "", "", "", "
YES
\n", "
5254604
\n", "
\n
\n\n
\n"], ["1436", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nAn individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring \nor modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related \nresearch; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.\n
\n
\n", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V090200
\n", "
183500000X
\n", "", "", "", "", "
YES
\n", "
5253278
\n", "
\n
\n\n
\n"], ["1437", "Other Service Providers", "", "
Military Health Care Provider
\n", "", "
\nAn Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health \ncare settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision \nof a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician \nwho meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians \nand as Immunization Back-up Technicians.\n
\n
\n", "
Independent Duty Medical Technicians
\n", "", "
Active
\n", "", "
V183409
\n", "
1710I1003X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253158
\n", "
\n
\n\n
\n"], ["1438", "Behavioral Health & Social Service Providers", "", "
Assistant Behavior Analyst
\n", "", "
\nAn assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior \nanalyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services \nmay include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment \nplans.\n
\n
\n", "", "", "
Active
\n", "", "
V010702
\n", "
106E00000X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252402
\n", "
\n
\n\n
\n"], ["1439", "Other Service Providers", "", "
Peer Specialist
\n", "", "
\nIndividuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.\n
\n
\n", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V151100
\n", "
175T00000X
\n", "", "", "", "", "
YES
\n", "
5253245
\n", "
\n
\n\n
\n"], ["144", "Allopathic & Osteopathic Physicians", "", "
Resident, Allopathic (includes Interns, Residents, Fellows)
\n", "", "
\nAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. (Allopathic Interns, Residents, Fellows)\n
\n
\n", "", "", "
Active
\n", "", "
V115500
\n", "
390200000X
\n", "", "
01
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252099
\n", "
\n
\n\n
\n"], ["1440", "Allopathic & Osteopathic Physicians", "", "
Physical Medicine & Rehabilitation
\n", "", "
\nA Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, \neducational, and vocational consequences.\n
\n
\n", "
Brain Injury Medicine
\n", "", "
Active
\n", "", "
V182606
\n", "
2081P0301X
\n", "", "
23
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251928
\n", "
\n
\n\n
\n"], ["1441", "Allopathic & Osteopathic Physicians", "", "
Ophthalmology
\n", "", "
\nAn ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.\n
\n
\n", "
Glaucoma Specialist
\n", "", "
Active
\n", "", "
V113002
\n", "
207WX0009X
\n", "", "
18
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251787
\n", "
\n
\n\n
\n"], ["1442", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Intensive Care
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113900
\n", "
203BP0209Y
\n", "", "", "", "", "
YES
\n", "
5254517
\n", "
\n
\n\n
\n"], ["1443", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatrics
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114200
\n", "
203BP0200Y
\n", "", "", "", "", "
YES
\n", "
5254490
\n", "
\n
\n\n
\n"], ["1444", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Medical Diseases of the Chest
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111800
\n", "
203BM0200Y
\n", "", "", "", "", "
YES
\n", "
5254367
\n", "
\n
\n\n
\n"], ["1445", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Sports Medicine - OMM
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118343
\n", "
203BS0008X
\n", "", "", "", "", "
YES
\n", "
5254886
\n", "
\n
\n\n
\n"], ["1446", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Obstetric & Gynecologic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V116500
\n", "
203BS0111Y
\n", "", "", "", "", "
YES
\n", "
5254922
\n", "
\n
\n\n
\n"], ["1447", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Dermatology Micrographic Surgery
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V116000
\n", "
203BD0101Y
\n", "", "", "", "", "
YES
\n", "
5254811
\n", "
\n
\n\n
\n"], ["1448", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Allergy & Immunology: Internal Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118304
\n", "
203BA0202N
\n", "", "", "", "", "
YES
\n", "
5254745
\n", "
\n
\n\n
\n"], ["1449", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Thoracic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V117700
\n", "
203BS0125Y
\n", "", "", "", "", "
YES
\n", "
5254955
\n", "
\n
\n\n
\n"], ["145", "Allopathic & Osteopathic Physicians", "", "
Resident, Osteopathic (includes Interns, Residents, Fellows)
\n", "", "
\nAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. (Osteoopathic Interns, Residents, Fellows)\n
\n
\n", "", "", "
Active
\n", "", "
V115600
\n", "
390200000X
\n", "", "
01
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252102
\n", "
\n
\n\n
\n"], ["1450", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Plastic & Reconstructive
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V117500
\n", "
203BS0122Y
\n", "", "", "", "", "
YES
\n", "
5254949
\n", "
\n
\n\n
\n"], ["1451", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Maternal & Fetal Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V112903
\n", "
203BM0101Y
\n", "", "", "", "", "
YES
\n", "
5254364
\n", "
\n
\n\n
\n"], ["1452", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Cardiac Electrophysiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111502
\n", "
203BC0000Y
\n", "", "", "", "", "
YES
\n", "
5254775
\n", "
\n
\n\n
\n"], ["1453", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Gastroenterology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114209
\n", "
203BP0206Y
\n", "", "", "", "", "
YES
\n", "
5254508
\n", "
\n
\n\n
\n"], ["1454", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Proctology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114700
\n", "
203BP0600Y
\n", "", "", "", "", "
YES
\n", "
5254550
\n", "
\n
\n\n
\n"], ["1455", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Thoracic Cardiovascular
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V117800
\n", "
203BS0126Y
\n", "", "", "", "", "
YES
\n", "
5254958
\n", "
\n
\n\n
\n"], ["1456", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Otorhinolaryngology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113500
\n", "
203BX0600Y
\n", "", "", "", "", "
YES
\n", "
5254697
\n", "
\n
\n\n
\n"], ["1457", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Ultrasound, Diagnostic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118100
\n", "
203BU0001Y
\n", "", "", "", "", "
YES
\n", "
5254646
\n", "
\n
\n\n
\n"], ["1458", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Urological
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118000
\n", "
203BS0128Y
\n", "", "", "", "", "
YES
\n", "
5254964
\n", "
\n
\n\n
\n"], ["1459", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Preventive Medicine: Undersea and Hyperbaric Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114608
\n", "
203BP0011X
\n", "", "", "", "", "
YES
\n", "
5254460
\n", "
\n
\n\n
\n"], ["146", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Cardiovascular
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115800
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254049
\n", "
\n
\n\n
\n"], ["1460", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neurophysiology, Clinical
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114803
\n", "
203BN0600Y
\n", "", "", "", "", "
YES
\n", "
5254397
\n", "
\n
\n\n
\n"], ["1461", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Cardiovascular Disease
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111503
\n", "
203BC2500Y
\n", "", "", "", "", "
YES
\n", "
5254802
\n", "
\n
\n\n
\n"], ["1462", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology: Molecular Genetic Pathology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113716
\n", "
203BP0007X
\n", "", "", "", "", "
YES
\n", "
5254448
\n", "
\n
\n\n
\n"], ["1463", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Orthopedic, Spine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V117100
\n", "
203BS0117N
\n", "", "", "", "", "
YES
\n", "
5254937
\n", "
\n
\n\n
\n"], ["1464", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Rhinology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118329
\n", "
203BR0600N
\n", "", "", "", "", "
YES
\n", "
5254862
\n", "
\n
\n\n
\n"], ["1465", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Occupational Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118337
\n", "
203BX0100Y
\n", "", "", "", "", "
YES
\n", "
5254673
\n", "
\n
\n\n
\n"], ["1466", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nA licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, \nand practicing in the context of family and community.\n
\n
\n", "
Ambulatory Care
\n", "", "
Active
\n", "", "
V090109
\n", "
1835P2201X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253308
\n", "
\n
\n\n
\n"], ["1467", "Allopathic & Osteopathic Physicians", "", "
Radiology
\n", "", "
\nA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.\n
\n
\n", "
Diagnostic Radiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V183004
\n", "
2085R0202X
\n", "", "", "", "", "
YES
\n", "
5252075
\n", "
\n
\n\n
\n"], ["1468", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Osteopathic Manipulative Medicine, Special Proficiency
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113200
\n", "
203BX2100Y
\n", "", "", "", "", "
YES
\n", "
5254712
\n", "
\n
\n\n
\n"], ["1469", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Otology & Neurotology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113301
\n", "
203BX0901N
\n", "", "", "", "", "
YES
\n", "
5254709
\n", "
\n
\n\n
\n"], ["147", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Colon & Rectal Surgery
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115900
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254052
\n", "
\n
\n\n
\n"], ["1470", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Nuclear Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V112600
\n", "
203BN0900Y
\n", "", "", "", "", "
YES
\n", "
5254403
\n", "
\n
\n\n
\n"], ["1471", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Cytopathology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113707
\n", "
203BC0500Y
\n", "", "", "", "", "
YES
\n", "
5254799
\n", "
\n
\n\n
\n"], ["1472", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Toxicology, Medical: Emergency Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110801
\n", "
203BT0002Y
\n", "", "", "", "", "
YES
\n", "
5254640
\n", "
\n
\n\n
\n"], ["1473", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Nuclear Radiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115302
\n", "
203BN0904Y
\n", "", "", "", "", "
YES
\n", "
5254415
\n", "
\n
\n\n
\n"], ["1474", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Hand: Orthopedic Surgery
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V116800
\n", "
203BS0106Y
\n", "", "", "", "", "
YES
\n", "
5254910
\n", "
\n
\n\n
\n"], ["1475", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Cardiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114205
\n", "
203BP0202Y
\n", "", "", "", "", "
YES
\n", "
5254496
\n", "
\n
\n\n
\n"], ["1476", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Medical Toxocology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114203
\n", "
203BP0220N
\n", "", "", "", "", "
YES
\n", "
5254541
\n", "
\n
\n\n
\n"], ["1477", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pain Management
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110404
\n", "
203BP0000X
\n", "", "", "", "", "
YES
\n", "
5254418
\n", "
\n
\n\n
\n"], ["1478", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Genetics, Medical
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111900
\n", "
203BG0200Y
\n", "", "", "", "", "
YES
\n", "
5254853
\n", "
\n
\n\n
\n"], ["1479", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Opthalmology: Pediatric Opthalmology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113001
\n", "
203BX0006X
\n", "", "", "", "", "
YES
\n", "
5254670
\n", "
\n
\n\n
\n"], ["148", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Dermatology Micrographic Surgery
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V116000
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254055
\n", "
\n
\n\n
\n"], ["1480", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Plastic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V117400
\n", "
203BS0121Y
\n", "", "", "", "", "
YES
\n", "
5254946
\n", "
\n
\n\n
\n"], ["1481", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Occupational-Environmental Medicine: Preventive Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114604
\n", "
203BX0105Y
\n", "", "", "", "", "
YES
\n", "
5254679
\n", "
\n
\n\n
\n"], ["1482", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Adolescent Medicine: Family Practice
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118302
\n", "
203BA0001N
\n", "", "", "", "", "
YES
\n", "
5254721
\n", "
\n
\n\n
\n"], ["1483", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology, Anatomic & Laboratory Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113703
\n", "
203BP0103Y
\n", "", "", "", "", "
YES
\n", "
5254478
\n", "
\n
\n\n
\n"], ["1484", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Orthopedic, Trauma
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V117300
\n", "
203BS0119N
\n", "", "", "", "", "
YES
\n", "
5254940
\n", "
\n
\n\n
\n"], ["1485", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Critical Care Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118311
\n", "
203BC0200Y
\n", "", "", "", "", "
YES
\n", "
5254784
\n", "
\n
\n\n
\n"], ["1486", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Critical Care Medicine: Internal Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111505
\n", "
203BC0202Y
\n", "", "", "", "", "
YES
\n", "
5254790
\n", "
\n
\n\n
\n"], ["1487", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology, Anatomic & Clinical
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113701
\n", "
203BP0102Y
\n", "", "", "", "", "
YES
\n", "
5254475
\n", "
\n
\n\n
\n"], ["1488", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Sports Medicine: Internal Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111516
\n", "
203BS0003Y
\n", "", "", "", "", "
YES
\n", "
5254880
\n", "
\n
\n\n
\n"], ["1489", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neurology, Child
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V112200
\n", "
203BN0402Y
\n", "", "", "", "", "
YES
\n", "
5254391
\n", "
\n
\n\n
\n"], ["149", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, General
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V116100
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254058
\n", "
\n
\n\n
\n"], ["1490", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Pathology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113714
\n", "
203BP0213Y
\n", "", "", "", "", "
YES
\n", "
5254529
\n", "
\n
\n\n
\n"], ["1491", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychopharmacy
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118324
\n", "
203BP1300N
\n", "", "", "", "", "
YES
\n", "
5254589
\n", "
\n
\n\n
\n"], ["1492", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pharmacotherapy
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118323
\n", "
203BP1200N
\n", "", "", "", "", "
YES
\n", "
5254586
\n", "
\n
\n\n
\n"], ["1493", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Internal Medicine: Peripheral Vascular Disease
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111520
\n", "
203BP3700X
\n", "", "", "", "", "
YES
\n", "
5254598
\n", "
\n
\n\n
\n"], ["1494", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Physical Medicine & Rehabilitation: Pediatric Rehabilitation Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114502
\n", "
203BP0010X
\n", "", "", "", "", "
YES
\n", "
5254457
\n", "
\n
\n\n
\n"], ["1495", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pain Management - Anesthesiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110402
\n", "
203BP0001Y
\n", "", "", "", "", "
YES
\n", "
5254421
\n", "
\n
\n\n
\n"], ["1496", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Diabetes
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118312
\n", "
203BD0300N
\n", "", "", "", "", "
YES
\n", "
5254814
\n", "
\n
\n\n
\n"], ["1497", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Forensic Psychiatry
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114804
\n", "
203BF0202N
\n", "", "", "", "", "
YES
\n", "
5254844
\n", "
\n
\n\n
\n"], ["1498", "Allopathic & Osteopathic Physicians", "", "
Radiology
\n", "", "
\nA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.\n
\n
\n", "
Diagnostic Radiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V183001
\n", "
2085R0202X
\n", "", "", "", "", "
YES
\n", "
5252069
\n", "
\n
\n\n
\n"], ["1499", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nA Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, \neducational, and vocational consequences.\n
\n
\n", "
Brain Injury Medicine
\n", "", "
Active
\n", "", "
V182922
\n", "
2084P0301X
\n", "", "
26
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252015
\n", "
\n
\n\n
\n"], ["15", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Toxicology, Medical: Emergency Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110801
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253572
\n", "
\n
\n\n
\n"], ["150", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Head & Neck
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V116200
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254061
\n", "
\n
\n\n
\n"], ["1500", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nA licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists that ensures the safe and effective use of medications for all children from neonates through adolescents.\n
\n
\n", "
Pediatrics
\n", "", "
Active
\n", "", "
V090111
\n", "
1835P0200X
\n", "", "
A5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253299
\n", "
\n
\n\n
\n"], ["1501", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Infectious Diseases
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114211
\n", "
203BP0208Y
\n", "", "", "", "", "
YES
\n", "
5254514
\n", "
\n
\n\n
\n"], ["1502", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Sports Medicine: Pediatrics
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114216
\n", "
203BS0004Y
\n", "", "", "", "", "
YES
\n", "
5254883
\n", "
\n
\n\n
\n"], ["1503", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiological Physics
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115305
\n", "
203BR0205N
\n", "", "", "", "", "
YES
\n", "
5254628
\n", "
\n
\n\n
\n"], ["1504", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neopathology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V112000
\n", "
203BN0200N
\n", "", "", "", "", "
YES
\n", "
5254382
\n", "
\n
\n\n
\n"], ["1505", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry, Child
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114900
\n", "
203BP0803Y
\n", "", "", "", "", "
YES
\n", "
5254562
\n", "
\n
\n\n
\n"], ["1506", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Emergency Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110800
\n", "
203BE0004Y
\n", "", "", "", "", "
YES
\n", "
5254823
\n", "
\n
\n\n
\n"], ["1507", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Urology, Pediatric Urology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118201
\n", "
203BU0002X
\n", "", "", "", "", "
YES
\n", "
5254649
\n", "
\n
\n\n
\n"], ["1508", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110000
\n", "
203B00000N
\n", "", "", "", "", "
YES
\n", "
5254715
\n", "
\n
\n\n
\n"], ["1509", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Age Specific, Newborns Only
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118308
\n", "
203BA0504N
\n", "", "", "", "", "
YES
\n", "
5254763
\n", "
\n
\n\n
\n"], ["151", "Physicians (M.D. and D.O.)", "", "
Surgery, Maxillofacial
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V116300
\n", "", "
A, Try V11----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254064
\n", "
\n
\n\n
\n"], ["1510", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Toxicology, Medical
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118335
\n", "
203BT0000Y
\n", "", "", "", "", "
YES
\n", "
5254634
\n", "
\n
\n\n
\n"], ["1511", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery: Micrographic Surgery
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V116801
\n", "
203BS0134X
\n", "", "", "", "", "
YES
\n", "
5254976
\n", "
\n
\n\n
\n"], ["1512", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiology, Angiography & Interventional
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118326
\n", "
203BR0201Y
\n", "", "", "", "", "
YES
\n", "
5254616
\n", "
\n
\n\n
\n"], ["1513", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Blood Banking & Transfusion Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113704
\n", "
203BB0001Y
\n", "", "", "", "", "
YES
\n", "
5254769
\n", "
\n
\n\n
\n"], ["1514", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry, Child & Adolescent
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114802
\n", "
203BP0804Y
\n", "", "", "", "", "
YES
\n", "
5254565
\n", "
\n
\n\n
\n"], ["1515", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Emergency Medicine: Undersea and Hyperbaric Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110804
\n", "
203BE0005X
\n", "", "", "", "", "
YES
\n", "
5254826
\n", "
\n
\n\n
\n"], ["1516", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Adolescent Medicine: Internal Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111501
\n", "
203BA0002Y
\n", "", "", "", "", "
YES
\n", "
5254724
\n", "
\n
\n\n
\n"], ["1517", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry & Neurology: Neurodevelopmental Disabilities
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114809
\n", "
203BP0005X
\n", "", "", "", "", "
YES
\n", "
5254442
\n", "
\n
\n\n
\n"], ["1518", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Pediatric
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115703
\n", "
203BS0120Y
\n", "", "", "", "", "
YES
\n", "
5254943
\n", "
\n
\n\n
\n"], ["1519", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Endocrinology, Diabetes & Metabolism
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111506
\n", "
203BE0101Y
\n", "", "", "", "", "
YES
\n", "
5254832
\n", "
\n
\n\n
\n"], ["152", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Neurological
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V116400
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254067
\n", "
\n
\n\n
\n"], ["1520", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology, Radioisotopic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V115200
\n", "
203BP0107N
\n", "", "", "", "", "
YES
\n", "
5254487
\n", "
\n
\n\n
\n"], ["1521", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Otolaryngology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113302
\n", "
203BP0212Y
\n", "", "", "", "", "
YES
\n", "
5254526
\n", "
\n
\n\n
\n"], ["1522", "Allopathic & Osteopathic Physicians", "", "
Physical Medicine & Rehabilitation
\n", "", "
\nA physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders \nat a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist.\n
\n
\n", "
Neuromuscular Medicine
\n", "", "
Active
\n", "", "
V182609
\n", "
2081N0008X
\n", "", "
25
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251919
\n", "
\n
\n\n
\n"], ["1523", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nA licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists, as integral members of interprofessional teams, working to ensure the safe and effective use of medications in critically \nill patients.\n
\n
\n", "
Critical Care
\n", "", "
Active
\n", "", "
V090110
\n", "
1835C0205X
\n", "", "
A5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253281
\n", "
\n
\n\n
\n"], ["1524", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nThe medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care \nof his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system.\n
\n
\n", "
Neurocritical Care
\n", "", "
Active
\n", "", "
V114811
\n", "
2084A2900X
\n", "", "
13
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251976
\n", "
\n
\n\n
\n"], ["1525", "Allopathic & Osteopathic Physicians", "", "
Radiology
\n", "", "
\nA radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.\n
\n
\n", "
Radiation Oncology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V183009
\n", "
2085R0001X
\n", "", "", "", "", "
YES
\n", "
5252063
\n", "
\n
\n\n
\n"], ["1526", "Nursing Service Related Providers", "", "
Technician
\n", "", "", "
Personal Care Attendant
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V170600
\n", "", "", "", "", "", "
YES
\n", "
5253053
\n", "
\n
\n\n
\n"], ["1527", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Critical Care Medicine: Anesthesiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110401
\n", "
203BC0201Y
\n", "", "", "", "", "
YES
\n", "
5254787
\n", "
\n
\n\n
\n"], ["1528", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Otorhinolaryngology & Head-Neck
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118339
\n", "
203BX0601N
\n", "", "", "", "", "
YES
\n", "
5254700
\n", "
\n
\n\n
\n"], ["1529", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Orthopedic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V116600
\n", "
203BS0113Y
\n", "", "", "", "", "
YES
\n", "
5254925
\n", "
\n
\n\n
\n"], ["153", "Physicians (M.D. and D.O.)", "", "
Surgery, Neurological
\n", "", "", "
Critical Care Medicine
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V116401
\n", "", "
P152
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254070
\n", "
\n
\n\n
\n"], ["1530", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Traumatic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V117900
\n", "
203BS0127N
\n", "", "", "", "", "
YES
\n", "
5254961
\n", "
\n
\n\n
\n"], ["1531", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pain Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118325
\n", "
203BP2900N
\n", "", "", "", "", "
YES
\n", "
5254595
\n", "
\n
\n\n
\n"], ["1532", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Nuclear Cardiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V112400
\n", "
203BN0901Y
\n", "", "", "", "", "
YES
\n", "
5254406
\n", "
\n
\n\n
\n"], ["1533", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Toxicology, Medical: Preventive Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114602
\n", "
203BT0001Y
\n", "", "", "", "", "
YES
\n", "
5254637
\n", "
\n
\n\n
\n"], ["1534", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pulmonary Diseases
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111513
\n", "
203BP1001Y
\n", "", "", "", "", "
YES
\n", "
5254580
\n", "
\n
\n\n
\n"], ["1535", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Anesthesiology: Pediatric Anesthesiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110403
\n", "
203BA0004X
\n", "", "", "", "", "
YES
\n", "
5254730
\n", "
\n
\n\n
\n"], ["1536", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Aerospace Medicine: Preventive Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114601
\n", "
203BA0101Y
\n", "", "", "", "", "
YES
\n", "
5254736
\n", "
\n
\n\n
\n"], ["1537", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry, Pediatric
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114100
\n", "
203BP0806N
\n", "", "", "", "", "
YES
\n", "
5254571
\n", "
\n
\n\n
\n"], ["1538", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Addiction Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110100
\n", "
203BA0401N
\n", "", "", "", "", "
YES
\n", "
5254751
\n", "
\n
\n\n
\n"], ["1539", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neuroradiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V112300
\n", "
203BN0700Y
\n", "", "", "", "", "
YES
\n", "
5254400
\n", "
\n
\n\n
\n"], ["154", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Obstetric & Gynecologic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V116500
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254073
\n", "
\n
\n\n
\n"], ["1540", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
General Practice
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V111000
\n", "
203BG0000Y
\n", "", "", "", "", "
YES
\n", "
5254847
\n", "
\n
\n\n
\n"], ["1541", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Dermatology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110700
\n", "
203BD0100Y
\n", "", "", "", "", "
YES
\n", "
5254808
\n", "
\n
\n\n
\n"], ["1542", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology, Anatomic
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113702
\n", "
203BP0101Y
\n", "", "", "", "", "
YES
\n", "
5254472
\n", "
\n
\n\n
\n"], ["1543", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology, Clinical
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113706
\n", "
203BP0105Y
\n", "", "", "", "", "
YES
\n", "
5254484
\n", "
\n
\n\n
\n"], ["1544", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Sports Medicine: Family Practice
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110902
\n", "
203BS0002Y
\n", "", "", "", "", "
YES
\n", "
5254877
\n", "
\n
\n\n
\n"], ["1545", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Physical Medicine & Rehabilitation: Pain Management
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114501
\n", "
203BP0009X
\n", "", "", "", "", "
YES
\n", "
5254454
\n", "
\n
\n\n
\n"], ["1546", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Allergy & Immunology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110300
\n", "
203BA0201Y
\n", "", "", "", "", "
YES
\n", "
5254742
\n", "
\n
\n\n
\n"], ["1547", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Aerospace Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118303
\n", "
203BA0100Y
\n", "", "", "", "", "
YES
\n", "
5254733
\n", "
\n
\n\n
\n"], ["1548", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Critical Care Medicine
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114206
\n", "
203BP0203Y
\n", "", "", "", "", "
YES
\n", "
5254499
\n", "
\n
\n\n
\n"], ["1549", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Dermatology: Pediatric Dermatology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110703
\n", "
203BD0002X
\n", "", "", "", "", "
YES
\n", "
5254805
\n", "
\n
\n\n
\n"], ["155", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Orthopedic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V116600
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254076
\n", "
\n
\n\n
\n"], ["1550", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Plastic Surgery: Plastic Surgery Within the Head and Neck
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V117403
\n", "
203BP0013X
\n", "", "", "", "", "
YES
\n", "
5254463
\n", "
\n
\n\n
\n"], ["1551", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Preventive Medicine, General
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V114600
\n", "
203BP0500Y
\n", "", "", "", "", "
YES
\n", "
5254547
\n", "
\n
\n\n
\n"], ["1552", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Thermography
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V118336
\n", "
203BT0100N
\n", "", "", "", "", "
YES
\n", "
5254643
\n", "
\n
\n\n
\n"], ["1553", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Medical Microbiology
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V113712
\n", "
203BM0300Y
\n", "", "", "", "", "
YES
\n", "
5254370
\n", "
\n
\n\n
\n"], ["1554", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Body Imaging
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V110500
\n", "
203BB0100Y
\n", "", "", "", "", "
YES
\n", "
5254772
\n", "
\n
\n\n
\n"], ["1555", "Allopathic & Osteopathic Physicians", "", "
Ophthalmology
\n", "", "
\nA neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central \nnervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders. Source: American Academy of Ophthalmology, www.aao.org\n
\n
\n", "
Neuro-ophthalmology
\n", "", "
Active
\n", "", "
V181903
\n", "
207WX0109X
\n", "", "
18
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5258496
\n", "
\n
\n\n
\n"], ["1556", "Allopathic & Osteopathic Physicians", "", "
Ophthalmology
\n", "", "
\nAn ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, \nref\n
\n
\n", "
Pediatric Ophthalmology and Strabismus Specialist
\n", "", "
Active
\n", "", "
V181902
\n", "
207WX0110X
\n", "", "
18
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5258499
\n", "
\n
\n\n
\n"], ["1557", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Student Health
\n", "", "
Inactive
\n", "
2018-08-30 00:00:00
\n", "
V115500
\n", "
261QS1000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5296124
\n", "
\n
\n\n
\n"], ["1558", "Behavioral Health & Social Service Providers", "", "
Social Worker
\n", "", "
\nA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, \nor registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical \nsocial work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, \nemotional, or behavioral disturbances.\n
\n
\n", "
Clinical
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V010401
\n", "
1041C0700X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5298123
\n", "
\n
\n\n
\n"], ["1559", "Allopathic & Osteopathic Physicians", "", "
Ophthalmology
\n", "", "
\nAn ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.\n
\n
\n", "
Cornea and External Diseases Specialist
\n", "", "
Active
\n", "", "
V181904
\n", "
207WX0120X
\n", "", "
18
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5298117
\n", "
\n
\n\n
\n"], ["156", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Orthopedic, Adult Reconstructive
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V116700
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254079
\n", "
\n
\n\n
\n"], ["1560", "Chiropractic Providers", "", "
Resident, Chiropractor
\n", "", "", "", "", "
Active
\n", "", "
V020101
\n", "
390200000X
\n", "", "
35
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5298131
\n", "
\n
\n\n
\n"], ["1561", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nA physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical \nrepairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.\n
\n
\n", "
Adult Congenital Heart Disease
\n", "", "
Active
\n", "", "
V181028
\n", "
207RA0002X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325500
\n", "
\n
\n\n
\n"], ["1562", "Associated Health", "", "
Fellow
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V183419
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325847
\n", "
\n
\n\n
\n"], ["1563", "Associated Health", "", "
Fellow
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V183420
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325850
\n", "
\n
\n\n
\n"], ["1564", "Associated Health", "", "
Fellow
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V183421
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325853
\n", "
\n
\n\n
\n"], ["1565", "Associated Health", "", "
Fellow
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V183422
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325856
\n", "
\n
\n\n
\n"], ["1566", "Associated Health", "", "
Fellow
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V183423
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325859
\n", "
\n
\n\n
\n"], ["1567", "Associated Health", "", "
Resident
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V183424
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325862
\n", "
\n
\n\n
\n"], ["1568", "Audiology", "", "
Doctoral Extern
\n", "", "", "
4th Year
\n", "", "
Active
\n", "", "
V140702
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325865
\n", "
\n
\n\n
\n"], ["1569", "Speech, Language and Hearing Service Providers", "", "
Extern, Audiology
\n", "", "", "", "", "
Active
\n", "", "
V140703
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325868
\n", "
\n
\n\n
\n"], ["157", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Hand: Orthopedic Surgery
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V116800
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254082
\n", "
\n
\n\n
\n"], ["1570", "Behavioral Health & Social Service Providers", "", "
Resident, Clinical Pastoral Education
\n", "", "", "", "", "
Active
\n", "", "
V010601
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325871
\n", "
\n
\n\n
\n"], ["1571", "Clinical Pastoral Ed (Specialty)", "", "
Resident
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V010602
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325874
\n", "
\n
\n\n
\n"], ["1572", "Behavioral Health & Social Service Providers", "", "
Intern, Licensed Professional Mental Health Counselor
\n", "", "", "", "", "
Active
\n", "", "
V010603
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325877
\n", "
\n
\n\n
\n"], ["1573", "Behavioral Health & Social Service Providers", "", "
Intern, Marriage & Family Therapist
\n", "", "", "", "", "
Active
\n", "", "
V010604
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325880
\n", "
\n
\n\n
\n"], ["1574", "Nutrition/Dietetics", "", "
Combined Masters
\n", "", "", "
Intern
\n", "", "
Active
\n", "", "
V040404
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325883
\n", "
\n
\n\n
\n"], ["1575", "Dietary & Nutritional Service Providers", "", "
Intern, Dietitian
\n", "", "", "", "", "
Active
\n", "", "
V040405
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325886
\n", "
\n
\n\n
\n"], ["1576", "Nutrition/Dietetics", "", "
Post-Baccalaureate
\n", "", "", "
Intern
\n", "", "
Active
\n", "", "
V040406
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325889
\n", "
\n
\n\n
\n"], ["1577", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Fellow, Occupational Therapist
\n", "", "", "", "", "
Active
\n", "", "
V183425
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325892
\n", "
\n
\n\n
\n"], ["1578", "Eye and Vision Services Providers", "", "
Fellow, Optometrist
\n", "", "", "", "", "
Active
\n", "", "
V060809
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325895
\n", "
\n
\n\n
\n"], ["1579", "Optometry", "", "
Fellow
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V060810
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325898
\n", "
\n
\n\n
\n"], ["158", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Orthopedic, Musculoskeletal Oncology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V116900
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254088
\n", "
\n
\n\n
\n"], ["1580", "Pharmacy", "", "
Fellow
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V090301
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325901
\n", "
\n
\n\n
\n"], ["1581", "Pharmacy Service Providers", "", "
Resident, Pharmacist
\n", "", "", "", "", "
Active
\n", "", "
V090302
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325904
\n", "
\n
\n\n
\n"], ["1582", "Pharmacy", "", "
Resident
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V090303
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325907
\n", "
\n
\n\n
\n"], ["1583", "Physical Therapy", "", "
Resident
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V183426
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325910
\n", "
\n
\n\n
\n"], ["1584", "Physician", "", "
Fellow
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V183427
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325913
\n", "
\n
\n\n
\n"], ["1585", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Resident, Physician Assistant
\n", "", "", "", "", "
Active
\n", "", "
V100701
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325916
\n", "
\n
\n\n
\n"], ["1586", "Podiatry", "", "
Resident
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V120214
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325919
\n", "
\n
\n\n
\n"], ["1587", "Podiatry", "", "
Resident
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V120215
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325922
\n", "
\n
\n\n
\n"], ["1588", "Podiatry", "", "
Resident
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V120216
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325925
\n", "
\n
\n\n
\n"], ["1589", "Podiatry", "", "
Resident
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V120217
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325928
\n", "
\n
\n\n
\n"], ["159", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Orthopedic, Pediatric
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V117000
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254091
\n", "
\n
\n\n
\n"], ["1590", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Resident, Prosthetist/Orthotist
\n", "", "", "", "", "
Active
\n", "", "
V183428
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325931
\n", "
\n
\n\n
\n"], ["1591", "Behavioral Health & Social Service Providers", "", "
Intern, Psychologist
\n", "", "", "", "", "
Active
\n", "", "
V183429
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325934
\n", "
\n
\n\n
\n"], ["1592", "Psychology", "", "
Fellow
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V183430
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325937
\n", "
\n
\n\n
\n"], ["1593", "Psychology", "", "
Fellow
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V183431
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325940
\n", "
\n
\n\n
\n"], ["1594", "Psychology", "", "
Intern
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V183432
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325943
\n", "
\n
\n\n
\n"], ["1595", "Behavioral Health & Social Service Providers", "", "
Resident, Psychologist
\n", "", "", "", "", "
Active
\n", "", "
V183433
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325946
\n", "
\n
\n\n
\n"], ["1596", "Psychology", "", "
Resident
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V183434
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325949
\n", "
\n
\n\n
\n"], ["1597", "Behavioral Health & Social Service Providers", "", "
Social Worker, student
\n", "", "", "", "", "
Active
\n", "", "
V183435
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325952
\n", "
\n
\n\n
\n"], ["1598", "Behavioral Health & Social Service Providers", "", "
Social Worker, post-degree, unlicensed
\n", "", "", "", "", "
Active
\n", "", "
V183436
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325955
\n", "
\n
\n\n
\n"], ["1599", "Speech, Language and Hearing Service Providers", "", "
Fellow, Speech-Language Pathologist
\n", "", "", "", "", "
Active
\n", "", "
V140704
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325958
\n", "
\n
\n\n
\n"], ["16", "Physicians (M.D. and D.O.)", "", "
Emergency Medicine
\n", "", "", "
Pediatric Emergency Medicine
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V110802
\n", "", "
P103
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253575
\n", "
\n
\n\n
\n"], ["160", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Orthopedic, Spine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V117100
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254094
\n", "
\n
\n\n
\n"], ["1600", "Speech, Language and Hearing Service Providers", "", "
Intern, Speech-Language Pathologist
\n", "", "", "", "", "
Active
\n", "", "
V140705
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325961
\n", "
\n
\n\n
\n"], ["1601", "Vocational Rehabilitation", "", "
Fellow
\n", "", "", "", "", "
Inactive
\n", "
2019-10-01 00:00:00
\n", "
V183437
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5325964
\n", "
\n
\n\n
\n"], ["1602", "Allopathic & Osteopathic Physicians", "", "
Preventive Medicine
\n", "", "
\nA physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.\n
\n
\n", "
Addiction Medicine
\n", "", "
Active
\n", "", "
V182809
\n", "
2083A0300X
\n", "", "
79
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5327613
\n", "
\n
\n\n
\n"], ["1603", "Dental Providers", "", "
Dentist
\n", "", "
\nA dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral \norofac\n
\n
\n", "
Orofacial Pain
\n", "", "
Active
\n", "", "
V030511
\n", "
1223X2210X
\n", "", "
C5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330360
\n", "
\n
\n\n
\n"], ["1604", "Dietary & Nutritional Service Providers", "", "
Dietitian, Registered
\n", "", "
\nAn individual who is a Specialist in Gerontological Nutrition and provides nutrition care to promote quality of life and optimal health for older adults across the continuum of care, including: acute care, post-acute care, primary care, long-term \ncare, as\n
\n
\n", "
Nutrition, Gerontological
\n", "", "
Active
\n", "", "
V040407
\n", "
133VN1101X
\n", "", "
71
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330363
\n", "
\n
\n\n
\n"], ["1605", "Dietary & Nutritional Service Providers", "", "
Dietitian, Registered
\n", "", "
\nAn individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral \nhealth\n
\n
\n", "
Nutrition, Obesity and Weight Management
\n", "", "
Active
\n", "", "
V040408
\n", "
133VN1201X
\n", "", "
71
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330366
\n", "
\n
\n\n
\n"], ["1606", "Dietary & Nutritional Service Providers", "", "
Dietitian, Registered
\n", "", "
\nAn individual who is a Board Certified Specialist in Oncology Nutrition and provides direct nutrition care for individuals at risk for or diagnosed with cancer. RDNs working directly with individuals at risk for, or diagnosed with, any type of malignancy\n
\n
\n", "
Nutrition, Oncology
\n", "", "
Active
\n", "", "
V040409
\n", "
133VN1301X
\n", "", "
71
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330369
\n", "
\n
\n\n
\n"], ["1607", "Dietary & Nutritional Service Providers", "", "
Dietitian, Registered
\n", "", "
\nAn individual who is a Board Certified Specialist in Pediatric Critical Care Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for critically ill infants, children and adolescents. Additional roles could \ninclu\n
\n
\n", "
Nutrition, Pediatric Critical Care
\n", "", "
Active
\n", "", "
V040410
\n", "
133VN1401X
\n", "", "
71
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330372
\n", "
\n
\n\n
\n"], ["1608", "Dietary & Nutritional Service Providers", "", "
Dietitian, Registered
\n", "", "
\nAn individual who is a Board Certified Specialist in Sports Dietetics and applies evidence-based nutrition knowledge in exercise and sports. RDNs specializing in sports dietetics assess, educate, and counsel athletes and active individuals. They \ndesign, i\n
\n
\n", "
Nutrition, Sports Dietetics
\n", "", "
Active
\n", "", "
V040411
\n", "
133VN1501X
\n", "", "
71
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330375
\n", "
\n
\n\n
\n"], ["1609", "Nursing Service Providers", "", "
Resident, Registered Nurse
\n", "", "", "", "", "
Active
\n", "", "
V070954
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330378
\n", "
\n
\n\n
\n"], ["161", "Physicians (M.D. and D.O.)", "", "
Surgery, Orthopaedic, Sports Medicine
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V117200
\n", "", "
P155
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254097
\n", "
\n
\n\n
\n"], ["1610", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Resident, Nurse Practitioner
\n", "", "", "", "", "
Active
\n", "", "
V100619
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330390
\n", "
\n
\n\n
\n"], ["1611", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Intern, Occupational Therapist
\n", "", "", "", "", "
Active
\n", "", "
V130816
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330405
\n", "
\n
\n\n
\n"], ["1612", "Nursing Service Providers", "", "
Student, Nurse Administration
\n", "", "", "", "", "
Active
\n", "", "
V070602
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330381
\n", "
\n
\n\n
\n"], ["1613", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Intern, Physician Assistant
\n", "", "", "", "", "
Active
\n", "", "
V100001
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330387
\n", "
\n
\n\n
\n"], ["1614", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Intern, Blind Rehabilitation
\n", "", "", "", "", "
Active
\n", "", "
V130815
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330402
\n", "
\n
\n\n
\n"], ["1615", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Student, Clinical Nurse Specialist
\n", "", "", "", "", "
Active
\n", "", "
V100620
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330393
\n", "
\n
\n\n
\n"], ["1616", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Intern, Physical Therapist
\n", "", "", "", "", "
Active
\n", "", "
V130817
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330408
\n", "
\n
\n\n
\n"], ["1617", "Pharmacy Service Providers", "", "
Fellow, Pharmacist
\n", "", "", "", "", "
Active
\n", "", "
V090112
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330384
\n", "
\n
\n\n
\n"], ["1618", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Student, Nurse Anesthetist
\n", "", "", "", "", "
Active
\n", "", "
V100336
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330396
\n", "
\n
\n\n
\n"], ["1619", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Student, Nurse Practitioner
\n", "", "", "", "", "
Active
\n", "", "
V100501
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5330399
\n", "
\n
\n\n
\n"], ["162", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Orthopedic, Trauma
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V117300
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254100
\n", "
\n
\n\n
\n"], ["1620", "Behavioral Health & Social Service Providers", "", "
Drama Therapist
\n", "", "
\nDrama therapists are trained in the intentional use of drama and theatre processes to achieve therapeutic goals. Drama therapists provide psychotherapy for individuals living with mental health and behavioral concerns that may result in psychological \nsuffering, impaired relationships, or distress in daily activities. Drama therapy promotes wellness and healing within the context of a therapeutic relationship for individuals of varying ability levels across the lifespan. Drama therapy can \ntake many forms depending on individual and group needs, skill and ability levels, interests, and therapeutic goals. Processes and techniques may include improvisation, theater games, storytelling, and enactment.\n
\n
\n", "", "", "
Active
\n", "", "
V010704
\n", "
101200000X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5335422
\n", "
\n
\n\n
\n"], ["1621", "Other Service Providers", "", "
Health & Wellness Coach
\n", "", "
\nThe Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and \nwell-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor \nbehaviors to increase accountability, all within the context of an interpersonal relationship with a coach.\n
\n
\n", "", "", "
Active
\n", "", "
V082600
\n", "
171400000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5335425
\n", "
\n
\n\n
\n"], ["1622", "Transportation Services", "", "
Transportation Network Company
\n", "", "
\nA ride-sharing company that provides prearranged or contracted non-emergency medical transportation services to patients through mobile or online technology.\n
\n
\n", "", "", "
Active
\n", "", "", "
342000000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5335428
\n", "
\n
\n\n
\n"], ["1623", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nEpilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, \npatients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.\n
\n
\n", "
Epilepsy
\n", "", "
Active
\n", "", "
V182923
\n", "
2084E0001X
\n", "", "
13
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5339695
\n", "
\n
\n\n
\n"], ["1624", "Allopathic & Osteopathic Physicians", "", "
Obstetrics & Gynecology
\n", "", "
\nA complex family planning physician specializes in the diagnosis and treatment of individuals with complex reproductive needs. These physicians are experts in abortion and contraception clinical care, research, education, and advocacy.\n
\n
\n", "
Complex Family Planning
\n", "", "
Active
\n", "", "
V181810
\n", "
207VC0300X
\n", "", "
16
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5340638
\n", "
\n
\n\n
\n"], ["1625", "Allopathic & Osteopathic Physicians", "", "
Integrative Medicine
\n", "", "
\nA physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease - including mind, body, and spirit. \nConventional and alternative methods are used to facilitate the body's innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic \napproaches, health care modalities, and disciplines to achieve optimal health and healing.\n
\n
\n", "", "", "
Active
\n", "", "
V183500
\n", "
202D00000X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5340641
\n", "
\n
\n\n
\n"], ["1626", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nA licensed pharmacist who has demonstrated specialized knowledge and skill in direct patient care to ensure safe and effective use of medications in patients with cardiovascular disease, as members of interprofessional health care teams.\n
\n
\n", "
Cardiology
\n", "", "
Active
\n", "", "
V090113
\n", "
1835C0206X
\n", "", "
A5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5344877
\n", "
\n
\n\n
\n"], ["1627", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nA licensed pharmacist who has demonstrated specialized knowledge and skill to ensure that sterile preparations meet the clinical needs of patients, satisfying quality, safety, and environmental control requirements, regulations, and standards in \nall phases of preparation, storage, transportation, and administration.\n
\n
\n", "
Compounded Sterile Preparations
\n", "", "
Active
\n", "", "
V090114
\n", "
1835C0207X
\n", "", "
A5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5344880
\n", "
\n
\n\n
\n"], ["1628", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nA licensed pharmacist who has demonstrated specialized knowledge and skill in the care for patients at the bedside in emergency medicine settings.\n
\n
\n", "
Emergency Medicine
\n", "", "
Active
\n", "", "
V090115
\n", "
1835E0208X
\n", "", "
A5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5344883
\n", "
\n
\n\n
\n"], ["1629", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nA licensed pharmacist who has demonstrated specialized knowledge and skill in the use of microbiology and pharmacology to develop, implement, and monitor drug regimens that incorporate antimicrobials to optimize therapy for patients.\n
\n
\n", "
Infectious Diseases
\n", "", "
Active
\n", "", "
V090116
\n", "
1835I0206X
\n", "", "
A5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5344886
\n", "
\n
\n\n
\n"], ["163", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Plastic & Reconstructive
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V117500
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254115
\n", "
\n
\n\n
\n"], ["1630", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nA licensed pharmacist who has demonstrated specialized knowledge and skill delivering direct patient care and the safe and effective use of medications for patients in all phases of solid organ transplantation.\n
\n
\n", "
Solid Organ Transplant
\n", "", "
Active
\n", "", "
V090117
\n", "
1835S0206X
\n", "", "
A5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5344889
\n", "
\n
\n\n
\n"], ["1631", "Allopathic & Osteopathic Physicians", "", "
Medical Genetics
\n", "", "
\nA medical biochemical geneticist specializes in the diagnosis, evaluation, prevention, and treatment of patients with biochemical genetic disorders, defined as inborn errors of metabolism at any age of onset. Training does not include those skills \nand knowledge necessary to direct a clinical laboratory.\n
\n
\n", "
Medical Biochemical Genetics
\n", "", "
Active
\n", "", "
V181306
\n", "
207SG0207X
\n", "", "
D3
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5372025
\n", "
\n
\n\n
\n"], ["1632", "Behavioral Health & Social Service Providers", "", "
Intern, Rehabilitation Counselor
\n", "", "", "", "", "
Active
\n", "", "
V183438
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5374314
\n", "
\n
\n\n
\n"], ["1633", "Therapeutic Medical Physicist", "", "
Resident
\n", "", "", "", "", "
Active
\n", "", "
V183439
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5374317
\n", "
\n
\n\n
\n"], ["1634", "Behavioral Health & Social Service Providers", "", "
Peer Support Apprentice
\n", "", "", "", "", "
Active
\n", "", "
V183440
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5374997
\n", "
\n
\n\n
\n"], ["1635", "Behavioral Health & Social Service Providers", "", "
Rehabilitation Counselor, trainee, non-certified
\n", "", "", "", "", "
Active
\n", "", "
V183441
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5375000
\n", "
\n
\n\n
\n"], ["1636", "Behavioral Health & Social Service Providers", "", "
Addiction Therapist, trainee, non-certified
\n", "", "", "", "", "
Active
\n", "", "
V183442
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5375003
\n", "
\n
\n\n
\n"], ["1637", "Allopathic & Osteopathic Physicians", "", "
Anesthesiology
\n", "", "
\nA physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, overnutrition, and genetic or acquired errors of metabolism) and adjunctive nutritional therapeutics (e.g., nutritional therapy or support \nof diseases states with a metabolic component). Physician Nutrition Specialists also provide services for nutritional disease prevention, including diabetes, cancer, Alzheimer's, hospital malnutrition screening, and perioperative nutrition.\n
\n
\n", "
Physician Nutrition Specialist
\n", "", "
Active
\n", "", "
V180206
\n", "
207LP4000X
\n", "", "
05
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5378236
\n", "
\n
\n\n
\n"], ["1638", "Allopathic & Osteopathic Physicians", "", "
Family Medicine
\n", "", "
\nA physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, overnutrition, and genetic or acquired errors of metabolism) and adjunctive nutritional therapeutics (e.g., nutritional therapy or support \nof diseases states with a metabolic component). Physician Nutrition Specialists also provide services for nutritional disease prevention, including diabetes, cancer, Alzheimer's, hospital malnutrition screening, and perioperative nutrition.\n
\n
\n", "
Physician Nutrition Specialist
\n", "", "
Active
\n", "", "
V180710
\n", "
207QP0002X
\n", "", "
08
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5378239
\n", "
\n
\n\n
\n"], ["1639", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nA physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, overnutrition, and genetic or acquired errors of metabolism) and adjunctive nutritional therapeutics (e.g., nutritional therapy or support \nof diseases states with a metabolic component). Physician Nutrition Specialists also provide services for nutritional disease prevention, including diabetes, cancer, Alzheimer's, hospital malnutrition screening, and perioperative nutrition.\n
\n
\n", "
Physician Nutrition Specialist
\n", "", "
Active
\n", "", "
V181029
\n", "
207RP1002X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5378242
\n", "
\n
\n\n
\n"], ["164", "Physicians (M.D. and D.O.)", "", "
Surgery, Plastic Facial, Otolaryngology
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V117600
\n", "", "
P75
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254118
\n", "
\n
\n\n
\n"], ["1640", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, overnutrition, and genetic or acquired errors of metabolism) and adjunctive nutritional therapeutics (e.g., nutritional therapy or support \nof diseases states with a metabolic component). Physician Nutrition Specialists also provide services for nutritional disease prevention, including diabetes, cancer, Alzheimer's, hospital malnutrition screening, and perioperative nutrition.\n
\n
\n", "
Physician Nutrition Specialist
\n", "", "
Active
\n", "", "
V182524
\n", "
2080P1004X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5378245
\n", "
\n
\n\n
\n"], ["1641", "Allopathic & Osteopathic Physicians", "", "
Surgery
\n", "", "
\nA physician who specializes in the diagnosis and treatment of primary nutritional diseases (e.g., undernutrition, overnutrition, and genetic or acquired errors of metabolism) and adjunctive nutritional therapeutics (e.g., nutritional therapy or support \nof diseases states with a metabolic component). Physician Nutrition Specialists also provide services for nutritional disease prevention, including diabetes, cancer, Alzheimer's, hospital malnutrition screening, and perioperative nutrition.\n
\n
\n", "
Physician Nutrition Specialist
\n", "", "
Active
\n", "", "
V183109
\n", "
2086P0122X
\n", "", "
02
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5378248
\n", "
\n
\n\n
\n"], ["165", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Plastic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V117400
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254103
\n", "
\n
\n\n
\n"], ["166", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Hand: Plastic Surgery
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V117401
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254106
\n", "
\n
\n\n
\n"], ["167", "Physicians (M.D. and D.O.)", "", "
Surgery
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V115700
\n", "", "
A, Try V11----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254031
\n", "
\n
\n\n
\n"], ["168", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, General Vascular
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115701
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254034
\n", "
\n
\n\n
\n"], ["169", "Physicians (M.D. and D.O.)", "", "
Surgery
\n", "", "", "
Oncology
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V115702
\n", "", "
A, Try V11----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254037
\n", "
\n
\n\n
\n"], ["17", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Sports Medicine: Emergency Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110803
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253578
\n", "
\n
\n\n
\n"], ["170", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Pediatric
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115703
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254040
\n", "
\n
\n\n
\n"], ["171", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Hand
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115704
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254043
\n", "
\n
\n\n
\n"], ["172", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgical Critical Care: Surgery
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115705
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254046
\n", "
\n
\n\n
\n"], ["173", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Thoracic Cardiovascular
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V117800
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254124
\n", "
\n
\n\n
\n"], ["174", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Thoracic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V117700
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254121
\n", "
\n
\n\n
\n"], ["175", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Traumatic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V117900
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254127
\n", "
\n
\n\n
\n"], ["176", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Urological
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118000
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254130
\n", "
\n
\n\n
\n"], ["177", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Ultrasound, Diagnostic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118100
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254133
\n", "
\n
\n\n
\n"], ["178", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Urology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118200
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254136
\n", "
\n
\n\n
\n"], ["179", "Podiatric Medicine and Surgery Service", "", "", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V120000
\n", "", "
A, Try V12----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255024
\n", "
\n
\n\n
\n"], ["18", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Family Practice
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110900
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253584
\n", "
\n
\n\n
\n"], ["180", "Podiatric Medicine & Surgery Service Providers", "", "
Assistant, Podiatric
\n", "", "
\nAn individual who assists a podiatrist in tasks, such as exposing and developing x-rays; taking and recording patient histories; assisting in biomechanical evaluations and negative castings; preparing and sterilizing instruments and equipment; providing \nthe patient with postoperative instructions; applying surgical dressings; preparing the patient for treatment, padding, and strapping; and performing routine office procedures.\n
\n
\n", "", "", "
Active
\n", "", "
V120100
\n", "
211D00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254997
\n", "
\n
\n\n
\n"], ["181", "Podiatric Medicine & Surgery Service Providers", "", "
Podiatrist
\n", "", "
\nA podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical \nand other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.\n
\n
\n", "", "", "
Active
\n", "", "
V120200
\n", "
213E00000X
\n", "", "
48
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255000
\n", "
\n
\n\n
\n"], ["182", "Podiatric Medicine and Surgery Service", "", "
Podiatrist
\n", "", "", "
Dermatology
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V120201
\n", "", "
A, Try V1202--
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255027
\n", "
\n
\n\n
\n"], ["183", "Podiatric Medicine and Surgery Service", "", "
Podiatrist
\n", "", "", "
Foot and Ankle Orthopaedics/Biomechanics
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V120202
\n", "", "
A, Try V1202--
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255030
\n", "
\n
\n\n
\n"], ["184", "Podiatric Medicine and Surgery Service", "", "
Podiatrist
\n", "", "", "
Foot and Ankle Pediatrics
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V120203
\n", "", "
A, Try V1202--
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255033
\n", "
\n
\n\n
\n"], ["185", "Podiatric Medicine & Surgery Service Providers", "", "
Podiatrist
\n", "", "", "
Foot & Ankle Surgery
\n", "", "
Active
\n", "", "
V120204
\n", "
213ES0103X
\n", "", "
48
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255018
\n", "
\n
\n\n
\n"], ["186", "Podiatric Medicine & Surgery Service Providers", "", "
Podiatrist
\n", "", "", "
Foot Surgery
\n", "", "
Active
\n", "", "
V120205
\n", "
213ES0131X
\n", "", "
48
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255021
\n", "
\n
\n\n
\n"], ["187", "Podiatric Medicine & Surgery Service Providers", "", "
Podiatrist
\n", "", "", "
General Practice
\n", "", "
Inactive
\n", "
2009-04-22 00:00:00
\n", "
V120206
\n", "
213EG0000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255003
\n", "
\n
\n\n
\n"], ["188", "Podiatric Medicine and Surgery Service", "", "
Podiatrist
\n", "", "", "
Podiatric Medicine/Primary Care
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V120207
\n", "", "
P190
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255036
\n", "
\n
\n\n
\n"], ["189", "Podiatric Medicine and Surgery Service", "", "
Podiatrist
\n", "", "", "
Podiatric Orthopedics
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V120208
\n", "", "
A, Try V1202--
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255039
\n", "
\n
\n\n
\n"], ["19", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Geriatric Medicine: Family Practice
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110901
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253587
\n", "
\n
\n\n
\n"], ["190", "Podiatric Medicine & Surgery Service Providers", "", "
Podiatrist
\n", "", "", "
Primary Podiatric Medicine
\n", "", "
Active
\n", "", "
V120209
\n", "
213EP1101X
\n", "", "
48
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255009
\n", "
\n
\n\n
\n"], ["191", "Podiatric Medicine & Surgery Service Providers", "", "
Podiatrist
\n", "", "", "
Public Medicine
\n", "", "
Active
\n", "", "
V120210
\n", "
213EP0504X
\n", "", "
48
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255006
\n", "
\n
\n\n
\n"], ["192", "Podiatric Medicine & Surgery Service Providers", "", "
Podiatrist
\n", "", "", "
Radiology
\n", "", "
Active
\n", "", "
V120211
\n", "
213ER0200X
\n", "", "
48
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255012
\n", "
\n
\n\n
\n"], ["193", "Podiatric Medicine & Surgery Service Providers", "", "
Podiatrist
\n", "", "", "
Sports Medicine
\n", "", "
Active
\n", "", "
V120212
\n", "
213ES0000X
\n", "", "
48
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255015
\n", "
\n
\n\n
\n"], ["194", "Chiropractic Providers", "", "
Chiropractor
\n", "", "
\nA provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its \ninterrelationship with other body systems.\n
\n
\n", "", "", "
Active
\n", "", "
V020000
\n", "
111N00000X
\n", "", "
35
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252432
\n", "
\n
\n\n
\n"], ["195", "Chiropractic Providers", "", "
Chiropractor
\n", "", "
\nThe chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. \nA chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist \nmay manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote \npatient health and avoidance of disease.\n
\n
\n", "
Internist
\n", "", "
Active
\n", "", "
V020100
\n", "
111NI0900X
\n", "", "
35
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252438
\n", "
\n
\n\n
\n"], ["196", "Chiropractic Providers", "", "
Chiropractor
\n", "", "
\nChiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently \nthe physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in \nthis broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions.\n
\n
\n", "
Neurology
\n", "", "
Active
\n", "", "
V020200
\n", "
111NN0400X
\n", "", "
35
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252441
\n", "
\n
\n\n
\n"], ["197", "Chiropractic Providers", "", "
Chiropractor
\n", "", "
\nChiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic \nNutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep \npatterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their \nsaliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and \nanalyzed.\n
\n
\n", "
Nutrition
\n", "", "
Active
\n", "", "
V020300
\n", "
111NN1001X
\n", "", "
35
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252444
\n", "
\n
\n\n
\n"], ["198", "Chiropractic Providers", "", "
Chiropractor
\n", "", "
\nOccupational Health is that specialty within the chiropractic profession that deals with the prevention and management of work related injuries. It also considers and assists clients with State and Federal Compliance assistance. Occupational Health \ngoes much farther than simply treating injured workers however. This may mean working with clients to promote optimum safety and ergonomic principles, interacting with the injured worker to promote safety and prevent future injuries, assisting \na company with accident investigation to identify root cause, redesigning a workstation to eliminate hazards, working with safety teams, providing training programs etc. The list of potential services that the specialist can interact with a client \ncompany or patient is lengthy and varied involving both in office services as well as on site services.\n
\n
\n", "
Occupational Health
\n", "", "
Active
\n", "", "
V020400
\n", "
111NX0100X
\n", "", "
35
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252462
\n", "
\n
\n\n
\n"], ["199", "Chiropractic Providers", "", "
Chiropractor
\n", "", "
\nChiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, \nmuscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when \nnot, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on \na primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request \nof other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing \nfield of the orthopedic specialty.\n
\n
\n", "
Orthopedic
\n", "", "
Active
\n", "", "
V020500
\n", "
111NX0800X
\n", "", "
35
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252465
\n", "
\n
\n\n
\n"], ["2", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Addiction Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110100
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253524
\n", "
\n
\n\n
\n"], ["20", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Sports Medicine: Family Practice
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110902
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253590
\n", "
\n
\n\n
\n"], ["200", "Chiropractic Providers", "", "
Chiropractor
\n", "", "
\nChiropractic radiology is a referral specialty that provides consultation services at the request of other qualified doctors. Chiropractic radiologists provide consultation in health care facilities (private offices, hospitals and teaching institutions) \nto meet the needs of referring doctors and their patients. The quality of the consultative services by the chiropractic radiologist in independent practice is reflected by the quality of their professional credentials. Chiropractic radiologists \nrecommend, supervise, and interpret radiologic studies as well as advanced imaging procedures. They advise referring physicians on the necessity and appropriateness of radiologic services and whether to select or to avoid certain diagnostic \nor clinical procedures. In some instances the radiologist may act as a private practitioner. They may conduct research and apply diagnostic radiologic procedures and may be called upon to act as expert witnesses in matters of litigation.  Chiropractic \nradiologists are also concerned with imaging technology including image production, demonstration of normal and abnormal anatomy, and the interaction of energy and matter. The advances in the technological facets of radiology are so rapid \nthat only qualified radiologists can reasonably be expected to maintain the high level of proficiency required to supervise and interpret these procedures. The practice of radiology continuously involves the application of this technology to \npatient imaging and treatment.  It is now well recognized that chiropractic radiology includes, but is not limited to, plain film radiography, fluoroscopy, tomography, ultrasonography, radioisotope imaging, computed tomography, digital radiography, \nand magnetic resonance imaging. Individual practices may vary by intent, licensure, and scope of practice laws.\n
\n
\n", "
Radiology
\n", "", "
Active
\n", "", "
V020600
\n", "
111NR0200X
\n", "", "
35
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252450
\n", "
\n
\n\n
\n"], ["201", "Chiropractic Providers", "", "
Chiropractor
\n", "", "
\nA sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) \nor the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. \nExtremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, \nusing a variety of techniques and modalities.\n
\n
\n", "
Sports Physician
\n", "", "
Active
\n", "", "
V020700
\n", "
111NS0005X
\n", "", "
35
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252456
\n", "
\n
\n\n
\n"], ["202", "Chiropractic Providers", "", "
Chiropractor
\n", "", "
\nThe NUCC recommends this code not be used. Choose a more appropriate code.\n
\n
\n", "
Thermography
\n", "", "
Active
\n", "", "
V020800
\n", "
111NT0100X
\n", "", "
35
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252459
\n", "
\n
\n\n
\n"], ["203", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Physician Assistant
\n", "", "
\nA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform \nmany of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that \nthey work under the supervision of a physician.\n
\n
\n", "", "", "
Active
\n", "", "
V100000
\n", "
363A00000X
\n", "", "
97
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253338
\n", "
\n
\n\n
\n"], ["204", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Physician Assistant
\n", "", "", "
Surgical
\n", "", "
Active
\n", "", "
V100200
\n", "
363AS0400X
\n", "", "
97
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253344
\n", "
\n
\n\n
\n"], ["205", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Physician Assistant
\n", "", "", "
Medical
\n", "", "
Active
\n", "", "
V100100
\n", "
363AM0700X
\n", "", "
97
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253341
\n", "
\n
\n\n
\n"], ["206", "Dental Service", "", "", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V030000
\n", "", "
A, Try V03----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252528
\n", "
\n
\n\n
\n"], ["207", "Dental Providers", "", "
Dental Assistant
\n", "", "
\nAn individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. \nThe scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient \ncare services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.\n
\n
\n", "", "", "
Active
\n", "", "
V030100
\n", "
126800000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252519
\n", "
\n
\n\n
\n"], ["208", "Dental Providers", "", "
Dental Hygienist
\n", "", "
\nAn individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may \nbe legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the \nteeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.\n
\n
\n", "", "", "
Active
\n", "", "
V030200
\n", "
124Q00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252507
\n", "
\n
\n\n
\n"], ["209", "Dental Providers", "", "
Resident, Dentist
\n", "", "
\nAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.\n
\n
\n", "", "", "
Active
\n", "", "
V030300
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252525
\n", "
\n
\n\n
\n"], ["21", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
General Practice
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111000
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253593
\n", "
\n
\n\n
\n"], ["210", "Dental Providers", "", "
Dental Laboratory Technician
\n", "", "
\nAn individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory \ntechnician or certified dental technician (when appropriate) should be used to describe this auxiliary.\n
\n
\n", "", "", "
Active
\n", "", "
V030400
\n", "
126900000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252522
\n", "
\n
\n\n
\n"], ["211", "Dental Providers", "", "
Dentist
\n", "", "
\nA dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists \nwho have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. \nGenerally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals \nto practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.\n
\n
\n", "", "", "
Active
\n", "", "
V030500
\n", "
122300000X
\n", "", "
C5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252468
\n", "
\n
\n\n
\n"], ["212", "Dental Providers", "", "
Dentist
\n", "", "
\nThe branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the \netiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.\n
\n
\n", "
Endodontics
\n", "", "
Active
\n", "", "
V030501
\n", "
1223E0200X
\n", "", "
C5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252477
\n", "
\n
\n\n
\n"], ["213", "Dental Providers", "", "
Dentist
\n", "", "
\nA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.\n
\n
\n", "
General Practice
\n", "", "
Active
\n", "", "
V030502
\n", "
1223G0001X
\n", "
P211
\n", "
C5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252480
\n", "
\n
\n\n
\n"], ["214", "Dental Providers", "", "
Dentist
\n", "", "
\nThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.\n
\n
\n", "
Oral and Maxillofacial Surgery
\n", "", "
Active
\n", "", "
V030504
\n", "
1223S0112X
\n", "", "
19
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252495
\n", "
\n
\n\n
\n"], ["215", "Dental Providers", "", "
Dentist
\n", "", "
\nThe specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these \ndiseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.\n
\n
\n", "
Oral and Maxillofacial Pathology
\n", "", "
Active
\n", "", "
V030503
\n", "
1223P0106X
\n", "", "
C5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252483
\n", "
\n
\n\n
\n"], ["216", "Dental Providers", "", "
Dentist
\n", "", "
\nThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their \nrelated structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of \northodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective \nappliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.\n
\n
\n", "
Orthodontics and Dentofacial Orthopedics
\n", "", "
Active
\n", "", "
V030505
\n", "
1223X0400X
\n", "", "
C5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252501
\n", "
\n
\n\n
\n"], ["217", "Dental Providers", "", "
Dentist
\n", "", "
\nAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.\n
\n
\n", "
Pediatric Dentistry
\n", "", "
Active
\n", "", "
V030506
\n", "
1223P0221X
\n", "", "
C5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252486
\n", "
\n
\n\n
\n"], ["218", "Dental Providers", "", "
Dentist
\n", "", "
\nThat specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures \nand tissues.\n
\n
\n", "
Periodontics
\n", "", "
Active
\n", "", "
V030507
\n", "
1223P0300X
\n", "", "
C5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252489
\n", "
\n
\n\n
\n"], ["219", "Dental Providers", "", "
Dentist
\n", "", "
\nThat branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial \ntissues with artificial substitutes.\n
\n
\n", "
Prosthodontics
\n", "", "
Active
\n", "", "
V030508
\n", "
1223P0700X
\n", "", "
C5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252492
\n", "
\n
\n\n
\n"], ["22", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Geriatric Medicine: General Practice
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111100
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253596
\n", "
\n
\n\n
\n"], ["220", "Dental Providers", "", "
Dentist
\n", "", "
\nThe science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned \nwith the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.\n
\n
\n", "
Dental Public Health
\n", "", "
Active
\n", "", "
V030509
\n", "
1223D0001X
\n", "", "
C5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252471
\n", "
\n
\n\n
\n"], ["221", "Dental Providers", "", "
Denturist
\n", "", "
\nA denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.\n
\n
\n", "", "", "
Active
\n", "", "
V030600
\n", "
122400000X
\n", "
A, Try V03----
\n", "
19
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252504
\n", "
\n
\n\n
\n"], ["222", "Eye and Vision Services", "", "", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V060000
\n", "", "
A, Try V06----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252585
\n", "
\n
\n\n
\n"], ["223", "Eye and Vision Services Providers", "", "
Technician/Technologist
\n", "", "
\nAn optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.\n
\n
\n", "
Contact Lens Fitter
\n", "", "
Active
\n", "", "
V060100
\n", "
156FC0801X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252624
\n", "
\n
\n\n
\n"], ["224", "Eye and Vision Services Providers", "", "
Technician/Technologist
\n", "", "
\nAn optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.\n
\n
\n", "
Contact Lens
\n", "", "
Active
\n", "", "
V060200
\n", "
156FC0800X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252621
\n", "
\n
\n\n
\n"], ["225", "Eye and Vision Services Providers", "", "
Technician/Technologist
\n", "", "
\nAn ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an \nocularist provides the patient with complete instructions on the care and maintenance of their prosthesis.\n
\n
\n", "
Ocularist
\n", "", "
Active
\n", "", "
V060300
\n", "
156FX1700X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252639
\n", "
\n
\n\n
\n"], ["226", "Eye and Vision Services Providers", "", "
Technician/Technologist
\n", "", "
\nAn ophthalmic assistant assists ophthalmologists by performing duties including, but not limited to, patient charting, patient education, and basic eye testing.\n
\n
\n", "
Ophthalmic Assistant
\n", "", "
Active
\n", "", "
V060400
\n", "
156FX1101X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252630
\n", "
\n
\n\n
\n"], ["227", "Eye and Vision Services Providers", "", "
Technician/Technologist
\n", "", "
\nAn ophthalmic technician/technologist assists ophthalmologists by performing ophthalmic clinical functions, including administering eye exams, administering eye medications, and instructing the patient in care and use of corrective lenses.\n
\n
\n", "
Ophthalmic
\n", "", "
Active
\n", "", "
V060500
\n", "
156FX1100X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252627
\n", "
\n
\n\n
\n"], ["228", "Eye and Vision Services Providers", "", "
Technician/Technologist
\n", "", "
\nOpticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.\n
\n
\n", "
Optician
\n", "", "
Active
\n", "", "
V060600
\n", "
156FX1800X
\n", "", "
96
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252642
\n", "
\n
\n\n
\n"], ["229", "Eye and Vision Services", "", "
Optometric Assistant/Technician
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V060700
\n", "", "
A, Try V0607--
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252588
\n", "
\n
\n\n
\n"], ["23", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Hematology & Oncology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111200
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253599
\n", "
\n
\n\n
\n"], ["230", "Eye and Vision Services Providers", "", "
Optometrist
\n", "", "
\nDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related \nsystemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) \ndegree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.\n
\n
\n", "", "", "
Active
\n", "", "
V060800
\n", "
152W00000X
\n", "", "
41
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252597
\n", "
\n
\n\n
\n"], ["231", "Eye and Vision Services Providers", "", "
Optometrist
\n", "", "
\nOptometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.\n
\n
\n", "
Low Vision Rehabilitation
\n", "", "
Active
\n", "", "
V060802
\n", "
152WL0500X
\n", "", "
41
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252603
\n", "
\n
\n\n
\n"], ["232", "Eye and Vision Services Providers", "", "
Optometrist
\n", "", "
\nAn optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention \nof sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete's sport.\n
\n
\n", "
Sports Vision
\n", "", "
Active
\n", "", "
V060805
\n", "
152WS0006X
\n", "", "
41
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252609
\n", "
\n
\n\n
\n"], ["233", "Eye and Vision Services", "", "
Optometrist
\n", "", "", "
Contact Lens
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V060801
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252591
\n", "
\n
\n\n
\n"], ["234", "Eye and Vision Services Providers", "", "
Optometrist
\n", "", "
\nOptometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.\n
\n
\n", "
Pediatrics
\n", "", "
Active
\n", "", "
V060804
\n", "
152WP0200X
\n", "", "
41
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252606
\n", "
\n
\n\n
\n"], ["235", "Eye and Vision Services Providers", "", "
Optometrist
\n", "", "
\nOptometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health.\n
\n
\n", "
Occupational Vision
\n", "", "
Active
\n", "", "
V060803
\n", "
152WX0102X
\n", "", "
41
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252615
\n", "
\n
\n\n
\n"], ["236", "Eye and Vision Services Providers", "", "
Optometrist
\n", "", "
\nOptometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or \nvisual perceptual dysfunctions.\n
\n
\n", "
Vision Therapy
\n", "", "
Active
\n", "", "
V060806
\n", "
152WV0400X
\n", "", "
41
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252612
\n", "
\n
\n\n
\n"], ["237", "Eye and Vision Services Providers", "", "
Technician/Technologist
\n", "", "
\nAn orthoptist is an allied health professional skilled in evaluation and treatment of children and adults with eye movement difficulties. Their specialty is strabismus, amblyopia, and double vision.\n
\n
\n", "
Orthoptist
\n", "", "
Active
\n", "", "
V060900
\n", "
156FX1900X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252645
\n", "
\n
\n\n
\n"], ["238", "Speech, Language and Hearing Service", "", "", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V140000
\n", "", "
A, Try V14----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255429
\n", "
\n
\n\n
\n"], ["239", "Speech, Language and Hearing Service Providers", "", "
Audiologist
\n", "", "
\n(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, \nbalance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. \n(2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, \ndirect and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.\n
\n
\n", "", "", "
Active
\n", "", "
V140100
\n", "
231H00000X
\n", "", "
64
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255435
\n", "
\n
\n\n
\n"], ["24", "Physicians (M.D. and D.O.)", "", "
Intern, Allopathic
\n", "", "", "", "", "
Inactive
\n", "
2005-05-03 00:00:00
\n", "
V111300
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253602
\n", "
\n
\n\n
\n"], ["240", "Speech, Language and Hearing Service Providers", "", "
Audiologist-Hearing Aid Fitter
\n", "", "
\nAn audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment \noptions to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing \naid fitters" as opposed to states that license individuals as "audiologists".\n
\n
\n", "", "", "
Active
\n", "", "
V140200
\n", "
237600000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255456
\n", "
\n
\n\n
\n"], ["241", "Speech, Language and Hearing Service Providers", "", "
Hearing Instrument Specialist
\n", "", "
\nIndividuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society\n
\n
\n", "", "", "
Active
\n", "", "
V140300
\n", "
237700000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255459
\n", "
\n
\n\n
\n"], ["242", "Speech, Language and Hearing Service", "", "
Speech and Hearing Therapist
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V140400
\n", "", "
A, Try V14----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255432
\n", "
\n
\n\n
\n"], ["243", "Speech, Language and Hearing Service Providers", "", "
Speech-Language Pathologist
\n", "", "
\nThe speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. \nSpeech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, \nand feeding and swallowing.\n
\n
\n", "", "", "
Active
\n", "", "
V140500
\n", "
235Z00000X
\n", "", "
15
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255453
\n", "
\n
\n\n
\n"], ["244", "Speech, Language and Hearing Service Providers", "", "
Specialist/Technologist
\n", "", "", "
Speech-Language Assistant
\n", "", "
Active
\n", "", "
V140600
\n", "
2355S0801X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255450
\n", "
\n
\n\n
\n"], ["245", "Pharmacy Service", "", "", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V090000
\n", "", "
A, Try V09----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253260
\n", "
\n
\n\n
\n"], ["246", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nAn individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring \nor modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related \nresearch; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.\n
\n
\n", "", "", "
Active
\n", "", "
V090100
\n", "
183500000X
\n", "", "
87
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253275
\n", "
\n
\n\n
\n"], ["247", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "", "
General Practice
\n", "", "
Inactive
\n", "
2009-04-22 00:00:00
\n", "
V090101
\n", "
1835G0000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253284
\n", "
\n
\n\n
\n"], ["248", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nA licensed pharmacist who has demonstrated specialized knowledge and skill in procurement, compounding, quality control testing, dispensing, distribution, and monitoring of radiopharmaceuticals.\n
\n
\n", "
Nuclear
\n", "", "
Active
\n", "", "
V090102
\n", "
1835N0905X
\n", "", "
87
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253290
\n", "
\n
\n\n
\n"], ["249", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nA licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.\n
\n
\n", "
Nutrition Support
\n", "", "
Active
\n", "", "
V090103
\n", "
1835N1003X
\n", "", "
87
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253293
\n", "
\n
\n\n
\n"], ["25", "Physicians (M.D. and D.O.)", "", "
Intern, Osteopathic
\n", "", "", "", "", "
Inactive
\n", "
2005-05-03 00:00:00
\n", "
V111400
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253605
\n", "
\n
\n\n
\n"], ["250", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nA licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and \nconsultation, and collaborating with other health professionals in the management of therapy.\n
\n
\n", "
Pharmacotherapy
\n", "", "
Active
\n", "", "
V090104
\n", "
1835P1200X
\n", "", "
87
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253302
\n", "
\n
\n\n
\n"], ["251", "Pharmacy Service Providers", "", "
Pharmacist
\n", "", "
\nA licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans.\n
\n
\n", "
Psychiatric
\n", "", "
Active
\n", "", "
V090105
\n", "
1835P1300X
\n", "", "
87
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253305
\n", "
\n
\n\n
\n"], ["252", "Pharmacy Service", "", "
Technician
\n", "", "", "
Pharmacy
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V090200
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253263
\n", "
\n
\n\n
\n"], ["253", "Nursing Service", "", "", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070000
\n", "", "
A, Try V07----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252786
\n", "
\n
\n\n
\n"], ["254", "Nursing Service", "", "
Clinical Specialist
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070100
\n", "", "
P654
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252789
\n", "
\n
\n\n
\n"], ["255", "Nursing Service", "", "
Clinical Specialist
\n", "", "", "
Child and Adolescent Psychiatric and Mental Health
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070102
\n", "", "
P658
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252792
\n", "
\n
\n\n
\n"], ["256", "Nursing Service", "", "
Clinical Specialist
\n", "", "", "
Community Health Nursing
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070103
\n", "", "
P655
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252795
\n", "
\n
\n\n
\n"], ["257", "Nursing Service", "", "
Clinical Specialist
\n", "", "", "
Gerontological Nursing
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070104
\n", "", "
P656
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252798
\n", "
\n
\n\n
\n"], ["258", "Nursing Service", "", "
Clinical Specialist
\n", "", "", "
Medical-Surgical Nursing
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070105
\n", "", "
P657
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252801
\n", "
\n
\n\n
\n"], ["259", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Psychiatric/Mental Health, Adult
\n", "", "
Active
\n", "", "
V070101
\n", "
163WP0809X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252984
\n", "
\n
\n\n
\n"], ["26", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Internal Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111500
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253608
\n", "
\n
\n\n
\n"], ["260", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Administrator
\n", "", "
Active
\n", "", "
V070600
\n", "
163WA2000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252870
\n", "
\n
\n\n
\n"], ["261", "Nursing Service", "", "
Nursing Administrator
\n", "", "", "
Nursing Administration, Advanced
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070601
\n", "", "
P260
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252834
\n", "
\n
\n\n
\n"], ["262", "Nursing Service", "", "
Nursing Administrator, Long-Term Care
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070700
\n", "", "
P674
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252837
\n", "
\n
\n\n
\n"], ["263", "Nursing Service", "", "
Nurse Anesthetist (CRNA)
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070200
\n", "", "
P660
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252804
\n", "
\n
\n\n
\n"], ["264", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Nurse Massage Therapist (NMT)
\n", "", "
Active
\n", "", "
V070300
\n", "
163WM1400X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252951
\n", "
\n
\n\n
\n"], ["265", "Nursing Service", "", "
Nurse Midwife (CNM)
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070400
\n", "", "
P659
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252807
\n", "
\n
\n\n
\n"], ["266", "Nursing Service", "", "
Nurse Practitioner
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070500
\n", "", "
P661
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252810
\n", "
\n
\n\n
\n"], ["267", "Nursing Service", "", "
Nurse Practitioner
\n", "", "", "
Adult Nurse Practitioner
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070501
\n", "", "
P662
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252813
\n", "
\n
\n\n
\n"], ["268", "Nursing Service", "", "
Nurse Practitioner
\n", "", "", "
Family Nurse Practitioner
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070502
\n", "", "
P663
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252816
\n", "
\n
\n\n
\n"], ["269", "Nursing Service", "", "
Nurse Practitioner
\n", "", "", "
Gerontological Nurse Practitioner
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070503
\n", "", "
P664
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252819
\n", "
\n
\n\n
\n"], ["27", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Adolescent Medicine: Internal Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111501
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253611
\n", "
\n
\n\n
\n"], ["270", "Nursing Service", "", "
Nurse Practitioner
\n", "", "", "
Neonatal Nurse Practitioner
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070504
\n", "", "
P665
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252822
\n", "
\n
\n\n
\n"], ["271", "Nursing Service", "", "
Nurse Practitioner
\n", "", "", "
Obstetrical/Gynecological Nurse Practitioner
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070505
\n", "", "
P666
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252825
\n", "
\n
\n\n
\n"], ["272", "Nursing Service", "", "
Nurse Practitioner
\n", "", "", "
Pediatric Nurse Practitioner (PNP)
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070506
\n", "", "
P667
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252828
\n", "
\n
\n\n
\n"], ["273", "Nursing Service", "", "
Nurse Practitioner
\n", "", "", "
School Nurse Practitioner
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070507
\n", "", "
P668
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252831
\n", "
\n
\n\n
\n"], ["274", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "
\n(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor \nof Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist \nphysicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is \nlicensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life \nspan.\n
\n
\n", "", "", "
Active
\n", "", "
V070900
\n", "
163W00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252864
\n", "
\n
\n\n
\n"], ["275", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Addiction (Substance Use Disorder)
\n", "", "
Active
\n", "", "
V070901
\n", "
163WA0400X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252867
\n", "
\n
\n\n
\n"], ["276", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Ambulatory Care
\n", "", "
Active
\n", "", "
V070902
\n", "
163WP2201X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252990
\n", "
\n
\n\n
\n"], ["277", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Women's Health Care, Ambulatory
\n", "", "
Active
\n", "", "
V070903
\n", "
163WW0101X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253014
\n", "
\n
\n\n
\n"], ["278", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Cardiac Rehabilitation
\n", "", "
Active
\n", "", "
V070904
\n", "
163WC3500X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252894
\n", "
\n
\n\n
\n"], ["279", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Case Management
\n", "", "
Active
\n", "", "
V070905
\n", "
163WC0400X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252876
\n", "
\n
\n\n
\n"], ["28", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Cardiac Electrophysiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111502
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253614
\n", "
\n
\n\n
\n"], ["280", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
College Health
\n", "", "
Active
\n", "", "
V070906
\n", "
163WC1400X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252879
\n", "
\n
\n\n
\n"], ["281", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Community Health
\n", "", "
Active
\n", "", "
V070907
\n", "
163WC1500X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252882
\n", "
\n
\n\n
\n"], ["282", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Continence Care
\n", "", "
Active
\n", "", "
V070908
\n", "
163WC2100X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252888
\n", "
\n
\n\n
\n"], ["283", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Critical Care Medicine
\n", "", "
Active
\n", "", "
V070909
\n", "
163WC0200X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252873
\n", "
\n
\n\n
\n"], ["284", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Diabetes Educator
\n", "", "
Active
\n", "", "
V070910
\n", "
163WD0400X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252897
\n", "
\n
\n\n
\n"], ["285", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Emergency
\n", "", "
Active
\n", "", "
V070911
\n", "
163WE0003X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252903
\n", "
\n
\n\n
\n"], ["286", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Enterostomal Therapy
\n", "", "
Active
\n", "", "
V070912
\n", "
163WE0900X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252906
\n", "
\n
\n\n
\n"], ["287", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Flight
\n", "", "
Active
\n", "", "
V070913
\n", "
163WF0300X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252909
\n", "
\n
\n\n
\n"], ["288", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Gastroenterology
\n", "", "
Active
\n", "", "
V070914
\n", "
163WG0100X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252918
\n", "
\n
\n\n
\n"], ["289", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
General Practice
\n", "", "
Active
\n", "", "
V070915
\n", "
163WG0000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252915
\n", "
\n
\n\n
\n"], ["29", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Cardiovascular Disease
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111503
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253617
\n", "
\n
\n\n
\n"], ["290", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Gerontology
\n", "", "
Active
\n", "", "
V070916
\n", "
163WG0600X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252921
\n", "
\n
\n\n
\n"], ["291", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Hemodialysis
\n", "", "
Active
\n", "", "
V070917
\n", "
163WH0500X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252927
\n", "
\n
\n\n
\n"], ["292", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Obstetric, High-Risk
\n", "", "
Active
\n", "", "
V070918
\n", "
163WX0002X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253017
\n", "
\n
\n\n
\n"], ["293", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Home Health
\n", "", "
Active
\n", "", "
V070919
\n", "
163WH0200X
\n", "", "
A4
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252924
\n", "
\n
\n\n
\n"], ["294", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Hospice
\n", "", "
Active
\n", "", "
V070920
\n", "
163WH1000X
\n", "", "
A4
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252930
\n", "
\n
\n\n
\n"], ["295", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Infection Control
\n", "", "
Active
\n", "", "
V070921
\n", "
163WI0600X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252936
\n", "
\n
\n\n
\n"], ["296", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Obstetric, Inpatient
\n", "", "
Active
\n", "", "
V070922
\n", "
163WX0003X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253020
\n", "
\n
\n\n
\n"], ["297", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Infusion Therapy
\n", "", "
Active
\n", "", "
V070923
\n", "
163WI0500X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252933
\n", "
\n
\n\n
\n"], ["298", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Lactation Consultant
\n", "", "
Active
\n", "", "
V070924
\n", "
163WL0100X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252939
\n", "
\n
\n\n
\n"], ["299", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Neonatal, Low-Risk
\n", "", "
Active
\n", "", "
V070925
\n", "
163WN0003X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252957
\n", "
\n
\n\n
\n"], ["3", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Allergy & Immunology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110300
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253530
\n", "
\n
\n\n
\n"], ["30", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Immunology, Clinical & Laboratory: Internal Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111504
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253620
\n", "
\n
\n\n
\n"], ["300", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Maternal Newborn
\n", "", "
Active
\n", "", "
V070926
\n", "
163WM0102X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252942
\n", "
\n
\n\n
\n"], ["301", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Medical-Surgical
\n", "", "
Active
\n", "", "
V070927
\n", "
163WM0705X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252945
\n", "
\n
\n\n
\n"], ["302", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Neonatal Intensive Care
\n", "", "
Active
\n", "", "
V070928
\n", "
163WN0002X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252954
\n", "
\n
\n\n
\n"], ["303", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Nephrology
\n", "", "
Active
\n", "", "
V070929
\n", "
163WN0300X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252960
\n", "
\n
\n\n
\n"], ["304", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Neuroscience
\n", "", "
Active
\n", "", "
V070930
\n", "
163WN0800X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252963
\n", "
\n
\n\n
\n"], ["305", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Continuing Education/Staff Development
\n", "", "
Active
\n", "", "
V070931
\n", "
163WC1600X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252885
\n", "
\n
\n\n
\n"], ["306", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Nutrition Support
\n", "", "
Active
\n", "", "
V070932
\n", "
163WN1003X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252966
\n", "
\n
\n\n
\n"], ["307", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Occupational Health
\n", "", "
Active
\n", "", "
V070933
\n", "
163WX0106X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253023
\n", "
\n
\n\n
\n"], ["308", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Oncology
\n", "", "
Active
\n", "", "
V070934
\n", "
163WX0200X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253026
\n", "
\n
\n\n
\n"], ["309", "Nursing Service", "", "
Registered Nurse
\n", "", "", "
Operating Room
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V070935
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252852
\n", "
\n
\n\n
\n"], ["31", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Critical Care Medicine: Internal Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111505
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253623
\n", "
\n
\n\n
\n"], ["310", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Ophthalmic
\n", "", "
Active
\n", "", "
V070936
\n", "
163WX1100X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253035
\n", "
\n
\n\n
\n"], ["311", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Orthopedic
\n", "", "
Active
\n", "", "
V070937
\n", "
163WX0800X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253032
\n", "
\n
\n\n
\n"], ["312", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Ostomy Care
\n", "", "
Active
\n", "", "
V070938
\n", "
163WX1500X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253038
\n", "
\n
\n\n
\n"], ["313", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Otorhinolaryngology & Head-Neck
\n", "", "
Active
\n", "", "
V070939
\n", "
163WX0601X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253029
\n", "
\n
\n\n
\n"], ["314", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Pain Management
\n", "", "
Active
\n", "", "
V070940
\n", "
163WP0000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252969
\n", "
\n
\n\n
\n"], ["315", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Pediatrics
\n", "", "
Active
\n", "", "
V070941
\n", "
163WP0200X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252972
\n", "
\n
\n\n
\n"], ["316", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Pediatric Oncology
\n", "", "
Active
\n", "", "
V070942
\n", "
163WP0218X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252975
\n", "
\n
\n\n
\n"], ["317", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Perinatal
\n", "", "
Active
\n", "", "
V070943
\n", "
163WP1700X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252987
\n", "
\n
\n\n
\n"], ["318", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Dialysis, Peritoneal
\n", "", "
Active
\n", "", "
V070944
\n", "
163WD1100X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252900
\n", "
\n
\n\n
\n"], ["319", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Plastic Surgery
\n", "", "
Active
\n", "", "
V070945
\n", "
163WS0121X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253002
\n", "
\n
\n\n
\n"], ["32", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Endocrinology, Diabetes & Metabolism
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111506
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253626
\n", "
\n
\n\n
\n"], ["320", "Nursing Service", "", "
Registered Nurse
\n", "", "", "
Post-Anesthesia
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V070946
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252855
\n", "
\n
\n\n
\n"], ["321", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Psychiatric/Mental Health
\n", "", "
Active
\n", "", "
V070947
\n", "
163WP0808X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252981
\n", "
\n
\n\n
\n"], ["322", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Rehabilitation
\n", "", "
Active
\n", "", "
V070948
\n", "
163WR0400X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252996
\n", "
\n
\n\n
\n"], ["323", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Reproductive Endocrinology/Infertility
\n", "", "
Active
\n", "", "
V070949
\n", "
163WR1000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252999
\n", "
\n
\n\n
\n"], ["324", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
School
\n", "", "
Active
\n", "", "
V070950
\n", "
163WS0200X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253005
\n", "
\n
\n\n
\n"], ["325", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Urology
\n", "", "
Active
\n", "", "
V070951
\n", "
163WU0100X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253008
\n", "
\n
\n\n
\n"], ["326", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Wound Care
\n", "", "
Active
\n", "", "
V070952
\n", "
163WW0000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253011
\n", "
\n
\n\n
\n"], ["327", "Nursing Service", "", "
Other Nursing Services (Non-R.N.s)
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070800
\n", "", "
A, Try V17----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252840
\n", "
\n
\n\n
\n"], ["328", "Nursing Service", "", "
Other Nursing Services (Non-R.N.s)
\n", "", "", "
Christian Science Nurse
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070801
\n", "", "
P669
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252843
\n", "
\n
\n\n
\n"], ["329", "Nursing Service", "", "
Other Nursing Services (Non-R.N.s)
\n", "", "", "
Home Health Aide
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070803
\n", "", "
P670
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252846
\n", "
\n
\n\n
\n"], ["33", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Gastroenterology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111507
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253629
\n", "
\n
\n\n
\n"], ["330", "Nursing Service Providers", "", "
Licensed Practical Nurse
\n", "", "
\nAn individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job \nresponsibilities vary among the states.\n
\n
\n", "", "", "
Active
\n", "", "
V070804
\n", "
164W00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253041
\n", "
\n
\n\n
\n"], ["331", "Nursing Service", "", "
Other Nursing Services (Non-R.N.s)
\n", "", "", "
Nurse's Aide
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V070806
\n", "", "
P672
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252849
\n", "
\n
\n\n
\n"], ["332", "Nursing Service Providers", "", "
Licensed Vocational Nurse
\n", "", "
\nAn individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising \nfrom difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.\n
\n
\n", "", "", "
Active
\n", "", "
V070805
\n", "
164X00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253044
\n", "
\n
\n\n
\n"], ["333", "Nursing Service Providers", "", "
Other Nursing Services (Non-R.N.s)
\n", "", "
\nAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.\n
\n
\n", "
Graduate Nurse
\n", "", "
Active
\n", "", "
V070802
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253050
\n", "
\n
\n\n
\n"], ["334", "Dietary and Nutritional Service", "", "", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V040000
\n", "", "
A, Try V04----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252555
\n", "
\n
\n\n
\n"], ["335", "Dietary and Nutritional Service", "", "
Dietary Manager
\n", "", "", "
Dietary Management
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V040100
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252558
\n", "
\n
\n\n
\n"], ["336", "Dietary and Nutritional Service", "", "
Dietary Manager
\n", "", "", "
Certified Dietary Manager
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V040101
\n", "", "
P335
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252561
\n", "
\n
\n\n
\n"], ["337", "Dietary & Nutritional Service Providers", "", "
Nutritionist
\n", "", "
\nA specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional \nrequirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting \nthe academic and experience requirements to qualify for the Registered Dietitian designation.\n
\n
\n", "", "", "
Active
\n", "", "
V040300
\n", "
133N00000X
\n", "", "
71
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252534
\n", "
\n
\n\n
\n"], ["338", "Dietary & Nutritional Service Providers", "", "
Nutritionist
\n", "", "", "
Nutrition, Education
\n", "", "
Active
\n", "", "
V040301
\n", "
133NN1002X
\n", "", "
71
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252537
\n", "
\n
\n\n
\n"], ["339", "Dietary & Nutritional Service Providers", "", "
Dietetic Technician, Registered
\n", "", "
\nA person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate's degree at a US regionally accredited \ncollege or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; a national examination administered by the Commission on Dietetic Registration; and continuing \nprofessional educational requirements to maintain registration.\n
\n
\n", "", "", "
Active
\n", "", "
V040200
\n", "
136A00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252552
\n", "
\n
\n\n
\n"], ["34", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Geriatric Medicine: Internal Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111508
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253632
\n", "
\n
\n\n
\n"], ["340", "Dietary & Nutritional Service Providers", "", "
Dietitian, Registered
\n", "", "
\nA registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor's degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an \nADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.\n
\n
\n", "", "", "
Active
\n", "", "
V040400
\n", "
133V00000X
\n", "", "
71
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252540
\n", "
\n
\n\n
\n"], ["341", "Dietary & Nutritional Service Providers", "", "
Dietitian, Registered
\n", "", "
\nA registered dietitian who achieves specialized competency in metabolic nutrition.\n
\n
\n", "
Nutrition, Metabolic
\n", "", "
Active
\n", "", "
V040401
\n", "
133VN1006X
\n", "", "
71
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252549
\n", "
\n
\n\n
\n"], ["342", "Dietary & Nutritional Service Providers", "", "
Dietitian, Registered
\n", "", "", "
Nutrition, Pediatric
\n", "", "
Active
\n", "", "
V040402
\n", "
133VN1004X
\n", "", "
71
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252543
\n", "
\n
\n\n
\n"], ["343", "Dietary & Nutritional Service Providers", "", "
Dietitian, Registered
\n", "", "", "
Nutrition, Renal
\n", "", "
Active
\n", "", "
V040403
\n", "
133VN1005X
\n", "", "
71
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252546
\n", "
\n
\n\n
\n"], ["344", "Emergency Medical Service", "", "", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V050000
\n", "", "
A, Try V05----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252567
\n", "
\n
\n\n
\n"], ["345", "Emergency Medical Service Providers", "", "
Emergency Medical Technician, Basic
\n", "", "
\nA Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.\n
\n
\n", "", "", "
Active
\n", "", "
V050100
\n", "
146N00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252582
\n", "
\n
\n\n
\n"], ["346", "Emergency Medical Service Providers", "", "
Emergency Medical Technician, Intermediate
\n", "", "
\nAn Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.\n
\n
\n", "", "", "
Active
\n", "", "
V050200
\n", "
146M00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252579
\n", "
\n
\n\n
\n"], ["347", "Emergency Medical Service Providers", "", "
Emergency Medical Technician, Paramedic
\n", "", "
\nAn EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.\n
\n
\n", "", "", "
Active
\n", "", "
V050300
\n", "
146L00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252576
\n", "
\n
\n\n
\n"], ["348", "Emergency Medical Service", "", "
First Responder (lower skill level)
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V050400
\n", "", "
A, Try V05----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252570
\n", "
\n
\n\n
\n"], ["349", "Behavioral Health and Social Service", "", "", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V010000
\n", "", "
A, Try V01----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252420
\n", "
\n
\n\n
\n"], ["35", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Hematology: Internal Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111509
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253635
\n", "
\n
\n\n
\n"], ["350", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, \nfor the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice \nof psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, \npsychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of \nthe psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.\n
\n
\n", "", "", "
Active
\n", "", "
V010400
\n", "
103T00000X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252321
\n", "
\n
\n\n
\n"], ["351", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.\n
\n
\n", "
Cognitive & Behavioral
\n", "", "
Active
\n", "", "
V010401
\n", "
103TB0200X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252330
\n", "
\n
\n\n
\n"], ["352", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty \nin breadth - one that is broadly inclusive of severe psychopathology - and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology \nencompasses all ages, multiple diversities and varied systems.\n
\n
\n", "
Clinical
\n", "", "
Active
\n", "", "
V010403
\n", "
103TC0700X
\n", "", "
68
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252333
\n", "
\n
\n\n
\n"], ["353", "Behavioral Health & Social Service Providers", "", "
Clinical Neuropsychologist
\n", "", "", "
Clinical
\n", "", "
Inactive
\n", "
2009-04-22 00:00:00
\n", "
V010402
\n", "
103GC0700X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252315
\n", "
\n
\n\n
\n"], ["354", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health \nconcerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists \nhelp people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.\n
\n
\n", "
Counseling
\n", "", "
Active
\n", "", "
V010404
\n", "
103TC1900X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252336
\n", "
\n
\n\n
\n"], ["355", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.\n
\n
\n", "
Family
\n", "", "
Active
\n", "", "
V010405
\n", "
103TF0000X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252348
\n", "
\n
\n\n
\n"], ["356", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.\n
\n
\n", "
Forensic
\n", "", "
Active
\n", "", "
V010406
\n", "
103TF0200X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252351
\n", "
\n
\n\n
\n"], ["357", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, \nor functioning is actually impaired or is demonstrably at high risk of impairment (1974).\n
\n
\n", "
Health Service
\n", "", "
Active
\n", "", "
V010407
\n", "
103TH0100X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252357
\n", "
\n
\n\n
\n"], ["358", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide \na range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, \nfamilies and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene \nto promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development.\n
\n
\n", "
School
\n", "", "
Active
\n", "", "
V010408
\n", "
103TS0200X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252381
\n", "
\n
\n\n
\n"], ["359", "Behavioral Health and Social Service", "", "
Psychoanalyst
\n", "", "", "", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V010300
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252423
\n", "
\n
\n\n
\n"], ["36", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Infectious Diseases
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111510
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253638
\n", "
\n
\n\n
\n"], ["360", "Behavioral Health and Social Service", "", "
Psychoanalyst
\n", "", "", "
Affiliate
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V010301
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252426
\n", "
\n
\n\n
\n"], ["361", "Behavioral Health and Social Service", "", "
Psychoanalyst
\n", "", "", "
Associate
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V010302
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252429
\n", "
\n
\n\n
\n"], ["362", "Behavioral Health & Social Service Providers", "", "
Counselor
\n", "", "
\nA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and \nsupervision for licensure or certification.\n
\n
\n", "", "", "
Active
\n", "", "
V010200
\n", "
101Y00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252396
\n", "
\n
\n\n
\n"], ["363", "Behavioral Health & Social Service Providers", "", "
Counselor
\n", "", "", "
Addiction (Substance Use Disorder)
\n", "", "
Active
\n", "", "
V010201
\n", "
101YA0400X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252399
\n", "
\n
\n\n
\n"], ["364", "Behavioral Health & Social Service Providers", "", "
Marriage & Family Therapist
\n", "", "
\nA marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives \nsupervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. \n A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.\n
\n
\n", "", "", "
Active
\n", "", "
V010202
\n", "
106H00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252405
\n", "
\n
\n\n
\n"], ["365", "Behavioral Health & Social Service Providers", "", "
Counselor
\n", "", "", "
Mental Health
\n", "", "
Active
\n", "", "
V010203
\n", "
101YM0800X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252294
\n", "
\n
\n\n
\n"], ["366", "Behavioral Health & Social Service Providers", "", "
Counselor
\n", "", "", "
Pastoral
\n", "", "
Active
\n", "", "
V010204
\n", "
101YP1600X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252297
\n", "
\n
\n\n
\n"], ["367", "Behavioral Health & Social Service Providers", "", "
Counselor
\n", "", "", "
Professional
\n", "", "
Active
\n", "", "
V010205
\n", "
101YP2500X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252300
\n", "
\n
\n\n
\n"], ["368", "Behavioral Health & Social Service Providers", "", "
Counselor
\n", "", "", "
School
\n", "", "
Active
\n", "", "
V010206
\n", "
101YS0200X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252303
\n", "
\n
\n\n
\n"], ["369", "Behavioral Health & Social Service Providers", "", "
Social Worker
\n", "", "
\nA social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients \nand their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.\n
\n
\n", "", "", "
Active
\n", "", "
V010600
\n", "
104100000X
\n", "", "
80
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252387
\n", "
\n
\n\n
\n"], ["37", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Oncology, Medical
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111511
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253641
\n", "
\n
\n\n
\n"], ["370", "Behavioral Health & Social Service Providers", "", "
Social Worker
\n", "", "
\nA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, \nor registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical \nsocial work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, \nemotional, or behavioral disturbances.\n
\n
\n", "
Clinical
\n", "", "
Active
\n", "", "
V010100
\n", "
1041C0700X
\n", "", "
80
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252390
\n", "
\n
\n\n
\n"], ["371", "Behavioral Health & Social Service Providers", "", "
Social Worker
\n", "", "", "
School
\n", "", "
Active
\n", "", "
V010500
\n", "
1041S0200X
\n", "", "
80
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252393
\n", "
\n
\n\n
\n"], ["372", "Respiratory, Rehabilitative and Restorative Service", "", "", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130000
\n", "", "
A, Try V13----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255330
\n", "
\n
\n\n
\n"], ["373", "Respiratory, Rehabilitative and Restorative Service", "", "
Respiratory Care Practitioner
\n", "", "", "
Inhalation Therapist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130504
\n", "", "
A, Try V13----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255378
\n", "
\n
\n\n
\n"], ["374", "Respiratory, Rehabilitative and Restorative Service", "", "
Respiratory Care Practitioner
\n", "", "", "
Pulmonary Function Technician
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130505
\n", "", "
P375
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255381
\n", "
\n
\n\n
\n"], ["375", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Pulmonary Function Technologist
\n", "", "
\nAn individual who is trained and qualified to perform pulmonary diagnostic tests. In the course of conducting these tests, the Pulmonary Function Technologist is able to setup, calibrate, maintain, and ensure the quality assurance of the pulmonary \nfunction testing equipment. In the laboratory, clinical or patient care setting the technologist instructs patients, elicits cooperation, performs procedures, monitors patient response, and evaluates patient performance. Tests results are calculated, \ncompared with predicted normal ranges, and evaluated for reliability. The technologist collects clinical history data and evaluates the clinical implications of the test results.\n
\n
\n", "", "", "
Active
\n", "", "
V130506
\n", "
225B00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255177
\n", "
\n
\n\n
\n"], ["376", "Respiratory, Rehabilitative and Restorative Service", "", "
Respiratory Therapist
\n", "", "", "", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V130508
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255387
\n", "
\n
\n\n
\n"], ["377", "Respiratory, Rehabilitative and Restorative Service", "", "
Respiratory Care Practitioner
\n", "", "", "
Certified Respiratory Therapy Technician
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130501
\n", "", "
P376
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255369
\n", "
\n
\n\n
\n"], ["378", "Respiratory, Rehabilitative and Restorative Service", "", "
Respiratory Care Practitioner
\n", "", "", "
Graduate Respiratory Therapist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130502
\n", "", "
P376
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255372
\n", "
\n
\n\n
\n"], ["379", "Respiratory, Rehabilitative and Restorative Service", "", "
Respiratory Care Practitioner
\n", "", "", "
Graduate Respiratory Therapy Technician
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130503
\n", "", "
P376
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255375
\n", "
\n
\n\n
\n"], ["38", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Nephrology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111512
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253644
\n", "
\n
\n\n
\n"], ["380", "Respiratory, Rehabilitative and Restorative Service", "", "
Respiratory Care Practitioner
\n", "", "", "
Registered Respiratory Therapist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130507
\n", "", "
P376
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255384
\n", "
\n
\n\n
\n"], ["381", "Respiratory, Rehabilitative and Restorative Service", "", "
Respiratory Care Practitioner
\n", "", "", "
Respiratory Therapy Assistant
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130509
\n", "", "
P376
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255390
\n", "
\n
\n\n
\n"], ["382", "Respiratory, Rehabilitative and Restorative Service", "", "
Respiratory Care Practitioner
\n", "", "", "
Respiratory Therapy Technician
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130510
\n", "", "
P376
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255393
\n", "
\n
\n\n
\n"], ["383", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Physical Therapist
\n", "", "
\nPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and \nperform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals \nto prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: (1) Diagnose and manage movement dysfunction and enhance physical and functional abilities; \n(2) Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health; (3) Prevent the onset, symptoms, and progression of impairments, functional \nlimitations, and disabilities that may result from diseases, disorders, conditions, or injuries; (4) Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems; (5) Address the negative effects \nattributable to unique personal and environmental factors as they relate to human performance. PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, \nsports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.\n
\n
\n", "", "", "
Active
\n", "", "
V130300
\n", "
225100000X
\n", "", "
65
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255108
\n", "
\n
\n\n
\n"], ["384", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Physical Therapist
\n", "", "
\nA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy \nand physiology medicine, rehabilitation, critical care, and emergency and trauma.\n
\n
\n", "
Cardiopulmonary
\n", "", "
Active
\n", "", "
V130301
\n", "
2251C2600X
\n", "", "
65
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255111
\n", "
\n
\n\n
\n"], ["385", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Physical Therapist
\n", "", "
\nA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations \nand evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose \nof evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, \nand other evoked potential procedures.\n
\n
\n", "
Electrophysiology, Clinical
\n", "", "
Active
\n", "", "
V130302
\n", "
2251E1300X
\n", "", "
65
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255117
\n", "
\n
\n\n
\n"], ["386", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Physical Therapist
\n", "", "
\nA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and \nevidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; \npolypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves \nas an advocate for the highest level of well-being for the older adult.\n
\n
\n", "
Geriatrics
\n", "", "
Active
\n", "", "
V130303
\n", "
2251G0304X
\n", "", "
65
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255120
\n", "
\n
\n\n
\n"], ["387", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Physical Therapist
\n", "", "
\nA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge \nof central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology \nand neuropsychology, and psychiatry; and medical management and pharmacology.\n
\n
\n", "
Neurology
\n", "", "
Active
\n", "", "
V130305
\n", "
2251N0400X
\n", "", "
65
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255129
\n", "
\n
\n\n
\n"], ["388", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Physical Therapist
\n", "", "
\nA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; \npathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.\n
\n
\n", "
Orthopedic
\n", "", "
Active
\n", "", "
V130306
\n", "
2251X0800X
\n", "", "
65
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255138
\n", "
\n
\n\n
\n"], ["389", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Physical Therapist
\n", "", "
\nA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, \ngenetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy \ncare (comorbidities), and that influence the type of intervention that can be given.\n
\n
\n", "
Pediatrics
\n", "", "
Active
\n", "", "
V130307
\n", "
2251P0200X
\n", "", "
65
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255132
\n", "
\n
\n\n
\n"], ["39", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pulmonary Diseases
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111513
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253647
\n", "
\n
\n\n
\n"], ["390", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Physical Therapist
\n", "", "
\nA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology \nand pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance \nenhancement.\n
\n
\n", "
Sports
\n", "", "
Active
\n", "", "
V130309
\n", "
2251S0007X
\n", "", "
65
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255135
\n", "
\n
\n\n
\n"], ["391", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Physical Therapist
\n", "", "", "
Hand
\n", "", "
Active
\n", "", "
V130304
\n", "
2251H1200X
\n", "", "
65
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255123
\n", "
\n
\n\n
\n"], ["392", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Physical Therapy Assistant
\n", "", "
\n(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on \nPostsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures \nand related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of \ndaily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. \nCurrently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical \ntherapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.\n
\n
\n", "", "", "
Active
\n", "", "
V130308
\n", "
225200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255144
\n", "
\n
\n\n
\n"], ["393", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Rehabilitation Practitioner
\n", "", "
\nA health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.\n
\n
\n", "", "", "
Active
\n", "", "
V130400
\n", "
225400000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255150
\n", "
\n
\n\n
\n"], ["394", "Respiratory, Rehabilitative and Restorative Service", "", "
Rehabilitation Practitioner
\n", "", "", "
Associate Rehabilitation Practitioner
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130401
\n", "", "
P393
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255357
\n", "
\n
\n\n
\n"], ["395", "Respiratory, Rehabilitative and Restorative Service", "", "
Rehabilitation Practitioner
\n", "", "", "
Professional Rehabilitation Practitioner
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130402
\n", "", "
P393
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255360
\n", "
\n
\n\n
\n"], ["396", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Resident, Physical Therapist
\n", "", "
\nAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.\n
\n
\n", "", "", "
Active
\n", "", "
V130405
\n", "
390200000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255411
\n", "
\n
\n\n
\n"], ["397", "Respiratory, Rehabilitative and Restorative Service", "", "
Rehabilitation Practitioner
\n", "", "", "
Rehabilitation Coordinator
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130403
\n", "", "
A, Try V1304--
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255363
\n", "
\n
\n\n
\n"], ["398", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Rehabilitation Counselor
\n", "", "
\nAn individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, \ndiagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis \nand placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master's degree with specialized courses in rehabilitation processes and technology.\n
\n
\n", "", "", "
Active
\n", "", "
V130404
\n", "
225C00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255180
\n", "
\n
\n\n
\n"], ["399", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapist
\n", "", "
\nAn occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation \nof Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally \nrecognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the \ntherapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy \nservices are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation \nrestriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, \nand quality of life.\n
\n
\n", "", "", "
Active
\n", "", "
V130100
\n", "
225X00000X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255192
\n", "
\n
\n\n
\n"], ["4", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Immunology, Clinical & Laboratory: Allergy & Immunology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110301
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253533
\n", "
\n
\n\n
\n"], ["40", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pulmonary Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111514
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253650
\n", "
\n
\n\n
\n"], ["400", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapy Assistant
\n", "", "
\nAn occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed \na period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for \nlicensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals \nor groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and \nare provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, \npsychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.\n
\n
\n", "", "", "
Active
\n", "", "
V130101
\n", "
224Z00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255090
\n", "
\n
\n\n
\n"], ["401", "Respiratory, Rehabilitative and Restorative Service", "", "
Occupational Therapist
\n", "", "", "
Registered Occupational Therapist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130103
\n", "", "
P399
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255333
\n", "
\n
\n\n
\n"], ["402", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapist
\n", "", "", "
Hand
\n", "", "
Active
\n", "", "
V130102
\n", "
225XH1200X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255207
\n", "
\n
\n\n
\n"], ["403", "Respiratory, Rehabilitative and Restorative Service", "", "
Other
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130200
\n", "", "
A, Try V13----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255339
\n", "
\n
\n\n
\n"], ["404", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Art Therapist
\n", "", "
\n(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or \nphysical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, \nor educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.\n
\n
\n", "", "", "
Active
\n", "", "
V130201
\n", "
221700000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255069
\n", "
\n
\n\n
\n"], ["405", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Specialist/Technologist
\n", "", "
\nAthletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level \nemployment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition \nof state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness \nprograms, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.\n
\n
\n", "
Athletic Trainer
\n", "", "
Active
\n", "", "
V130202
\n", "
2255A2300X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255156
\n", "
\n
\n\n
\n"], ["406", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Dance Therapist
\n", "", "
\nThe dance therapist, sometimes called a movement therapist, focuses on rhythmic body movements as a medium of physical and psychological change. Dance therapy is practiced more often with mental health patients than with physically disabled patients. \nA master's degree is required by the American Dance Therapy Association to award the credentials Dance Therapist Registered (DTR).\n
\n
\n", "", "", "
Active
\n", "", "
V130203
\n", "
225600000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255165
\n", "
\n
\n\n
\n"], ["407", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Massage Therapist
\n", "", "
\nAn individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.\n
\n
\n", "", "", "
Active
\n", "", "
V130204
\n", "
225700000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255168
\n", "
\n
\n\n
\n"], ["408", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Music Therapist
\n", "", "
\nMusic therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, \nand/or psychosocial health.\n
\n
\n", "", "", "
Active
\n", "", "
V130205
\n", "
225A00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255174
\n", "
\n
\n\n
\n"], ["409", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Specialist/Technologist
\n", "", "", "
Rehabilitation, Blind
\n", "", "
Active
\n", "", "
V130206
\n", "
2255R0406X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255159
\n", "
\n
\n\n
\n"], ["41", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Rheumatology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111515
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253653
\n", "
\n
\n\n
\n"], ["410", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Orthotic Fitter
\n", "", "
\nAn individual trained in the management of fitting prefabricated orthoses.\n
\n
\n", "", "", "
Active
\n", "", "
V130207
\n", "
225000000X
\n", "", "
57
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255105
\n", "
\n
\n\n
\n"], ["411", "Respiratory, Rehabilitative and Restorative Service", "", "
Other
\n", "", "", "
Orthotist-Prosthetist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130208
\n", "", "
A, Try V130213 OR V130214
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255342
\n", "
\n
\n\n
\n"], ["412", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Recreation Therapist
\n", "", "
\nA recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.\n
\n
\n", "", "", "
Active
\n", "", "
V130209
\n", "
225800000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255171
\n", "
\n
\n\n
\n"], ["413", "Respiratory, Rehabilitative and Restorative Service", "", "
Other
\n", "", "", "
Vocational Specialist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130212
\n", "", "
A, Try V13----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255351
\n", "
\n
\n\n
\n"], ["414", "Respiratory, Rehabilitative and Restorative Service", "", "
Other
\n", "", "", "
Rehabilitation Coordinator
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130210
\n", "", "
A, Try V1304--
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255345
\n", "
\n
\n\n
\n"], ["415", "Respiratory, Rehabilitative and Restorative Service", "", "
Other
\n", "", "", "
Rehabilitation Counselor
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130211
\n", "", "
P398
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255348
\n", "
\n
\n\n
\n"], ["416", "Technologists, Technicians and Other Technical Service", "", "", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150000
\n", "", "
A, Try V15----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255765
\n", "
\n
\n\n
\n"], ["417", "Technologists, Technicians and Other Technical Service", "", "
Clinical Pathology
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150100
\n", "", "
A, Try V15----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255768
\n", "
\n
\n\n
\n"], ["418", "Technologists, Technicians and Other Technical Service", "", "
Clinical Pathology
\n", "", "", "
Clinical Chemist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150101
\n", "", "
P429
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255771
\n", "
\n
\n\n
\n"], ["419", "Technologists, Technicians and Other Technical Service", "", "
Clinical Pathology
\n", "", "", "
Clinical Chemistry Technologist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150102
\n", "", "
P429
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255774
\n", "
\n
\n\n
\n"], ["42", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Sports Medicine: Internal Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111516
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253656
\n", "
\n
\n\n
\n"], ["420", "Technologists, Technicians and Other Technical Service", "", "
Clinical Pathology
\n", "", "", "
Cytotechnologist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150103
\n", "", "
P430
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255777
\n", "
\n
\n\n
\n"], ["421", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Pathology
\n", "", "", "
Laboratory Management, Diplomate
\n", "", "
Active
\n", "", "
V150104
\n", "
246QL0901X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255639
\n", "
\n
\n\n
\n"], ["422", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Pathology
\n", "", "", "
Hemapheresis Practitioner
\n", "", "
Active
\n", "", "
V150105
\n", "
246QH0401X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255627
\n", "
\n
\n\n
\n"], ["423", "Technologists, Technicians & Other Technical Service Providers", "", "
Technician, Pathology
\n", "", "", "
Histology
\n", "", "
Active
\n", "", "
V150106
\n", "
246RH0600X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255651
\n", "
\n
\n\n
\n"], ["424", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Pathology
\n", "", "", "
Histology
\n", "", "
Active
\n", "", "
V150107
\n", "
246QH0600X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255630
\n", "
\n
\n\n
\n"], ["425", "Technologists, Technicians & Other Technical Service Providers", "", "
Technician, Pathology
\n", "", "", "
Medical Laboratory
\n", "", "
Active
\n", "", "
V150108
\n", "
246RM2200X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255654
\n", "
\n
\n\n
\n"], ["426", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Pathology
\n", "", "", "
Medical Technologist
\n", "", "
Active
\n", "", "
V150109
\n", "
246QM0706X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255642
\n", "
\n
\n\n
\n"], ["427", "Technologists, Technicians & Other Technical Service Providers", "", "
Technician, Pathology
\n", "", "", "
Phlebotomy
\n", "", "
Active
\n", "", "
V150110
\n", "
246RP1900X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255558
\n", "
\n
\n\n
\n"], ["428", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Pathology
\n", "", "", "
Blood Banking
\n", "", "
Active
\n", "", "
V150111
\n", "
246QB0000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255615
\n", "
\n
\n\n
\n"], ["429", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Pathology
\n", "", "", "
Chemistry
\n", "", "
Active
\n", "", "
V150112
\n", "
246QC1000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255618
\n", "
\n
\n\n
\n"], ["43", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Laboratory Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111600
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253674
\n", "
\n
\n\n
\n"], ["430", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Pathology
\n", "", "", "
Cytotechnology
\n", "", "
Active
\n", "", "
V150113
\n", "
246QC2700X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255621
\n", "
\n
\n\n
\n"], ["431", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Pathology
\n", "", "", "
Hematology
\n", "", "
Active
\n", "", "
V150114
\n", "
246QH0000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255624
\n", "
\n
\n\n
\n"], ["432", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Pathology
\n", "", "", "
Microbiology
\n", "", "
Active
\n", "", "
V150115
\n", "
246QM0900X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255645
\n", "
\n
\n\n
\n"], ["433", "Technologists, Technicians and Other Technical Service", "", "
Clinical Pathology
\n", "", "", "
Technologist in Blood Banking
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150116
\n", "", "
P428
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255780
\n", "
\n
\n\n
\n"], ["434", "Technologists, Technicians and Other Technical Service", "", "
Clinical Pathology
\n", "", "", "
Technologist in Chemistry
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150117
\n", "", "
P429
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255783
\n", "
\n
\n\n
\n"], ["435", "Technologists, Technicians and Other Technical Service", "", "
Clinical Pathology
\n", "", "", "
Technologist in Hematology
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150118
\n", "", "
P431
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255786
\n", "
\n
\n\n
\n"], ["436", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Pathology
\n", "", "", "
Immunology
\n", "", "
Active
\n", "", "
V150119
\n", "
246QI0000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255633
\n", "
\n
\n\n
\n"], ["437", "Technologists, Technicians and Other Technical Service", "", "
Clinical Pathology
\n", "", "", "
Technologist in Microbiology
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150120
\n", "", "
P432
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255789
\n", "
\n
\n\n
\n"], ["438", "Technologists, Technicians and Other Technical Service", "", "
Clinical Services
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150200
\n", "", "
A, Try V15----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255792
\n", "
\n
\n\n
\n"], ["439", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "", "
Biomedical Engineering
\n", "", "
Inactive
\n", "
2023-04-03 00:00:00
\n", "
V150201
\n", "
246ZB0301X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255594
\n", "
\n
\n\n
\n"], ["44", "Physicians (M.D. and D.O.)", "", "
Legal Medicine
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V111700
\n", "", "
P647
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253680
\n", "
\n
\n\n
\n"], ["440", "Technologists, Technicians & Other Technical Service Providers", "", "
Technician, Other
\n", "", "", "
Biomedical Engineering
\n", "", "
Inactive
\n", "
2023-04-03 00:00:00
\n", "
V150202
\n", "
2472B0301X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255741
\n", "
\n
\n\n
\n"], ["441", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "
Cardiovascular: Invasive Technology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V150203
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255795
\n", "
\n
\n\n
\n"], ["442", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "
Cardiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V150204
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255798
\n", "
\n
\n\n
\n"], ["443", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "
Cardiopulmonary-Cardiovascular
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V150205
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255801
\n", "
\n
\n\n
\n"], ["444", "Technologists, Technicians and Other Technical Service", "", "
Clinical Services
\n", "", "", "
Cardiothoracic Technician
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150206
\n", "", "
A, Try V1502--
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255804
\n", "
\n
\n\n
\n"], ["445", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "
Perfusionist
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V150207
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255807
\n", "
\n
\n\n
\n"], ["446", "Technologists, Technicians and Other Technical Service", "", "
Technician, Cardiology
\n", "", "", "
ECG
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V150208
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255810
\n", "
\n
\n\n
\n"], ["447", "Technologists, Technicians & Other Technical Service Providers", "", "
Technician, Other
\n", "", "", "
EEG
\n", "", "
Active
\n", "", "
V150209
\n", "
2472E0500X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255747
\n", "
\n
\n\n
\n"], ["448", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "", "
EEG
\n", "", "
Active
\n", "", "
V150210
\n", "
246ZE0500X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255660
\n", "
\n
\n\n
\n"], ["449", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "", "
Electroneurodiagnostic
\n", "", "
Active
\n", "", "
V150211
\n", "
246ZE0600X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255663
\n", "
\n
\n\n
\n"], ["45", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Medical Diseases of the Chest
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111800
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253683
\n", "
\n
\n\n
\n"], ["450", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "", "
Graphics Methods
\n", "", "
Inactive
\n", "
2023-04-03 00:00:00
\n", "
V150212
\n", "
246ZG0701X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255666
\n", "
\n
\n\n
\n"], ["451", "Technologists, Technicians and Other Technical Service", "", "
Clinical Services
\n", "", "", "
IV Therapist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150213
\n", "", "
P445
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255813
\n", "
\n
\n\n
\n"], ["452", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "", "
Geneticist, Medical (PhD)
\n", "", "
Active
\n", "", "
V150214
\n", "
246ZG1000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255669
\n", "
\n
\n\n
\n"], ["453", "Technologists, Technicians and Other Technical Service", "", "
Clinical Services
\n", "", "", "
Pulmonary Clinician
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150215
\n", "", "
A, Try V1502--
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255816
\n", "
\n
\n\n
\n"], ["454", "Technologists, Technicians & Other Technical Service Providers", "", "
Technician, Other
\n", "", "", "
Renal Dialysis
\n", "", "
Active
\n", "", "
V150216
\n", "
2472R0900X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255750
\n", "
\n
\n\n
\n"], ["455", "Technologists, Technicians and Other Technical Service", "", "
Clinical Services
\n", "", "", "
Renal Dialysis Technologist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150217
\n", "", "
P454
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255819
\n", "
\n
\n\n
\n"], ["456", "Technologists, Technicians and Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "", "
Surgical
\n", "", "
Inactive
\n", "
2018-04-02 00:00:00
\n", "
V150218
\n", "
246ZS0400X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255966
\n", "
\n
\n\n
\n"], ["457", "Technologists, Technicians and Other Technical Service", "", "
Clinical Services
\n", "", "", "
Ultrasound Technologist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150219
\n", "", "
A, Try V150306 OR V150304
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255822
\n", "
\n
\n\n
\n"], ["458", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Sciences
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150300
\n", "", "
A, Try V1503--
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255825
\n", "
\n
\n\n
\n"], ["459", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiologic Technologist
\n", "", "
\nA radiologic technologist who specializes in cardiovascular interventional technology.\n
\n
\n", "
Cardiovascular-Interventional Technology
\n", "", "
Active
\n", "", "
V150301
\n", "
2471C1101X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255699
\n", "
\n
\n\n
\n"], ["46", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Genetics, Medical
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111900
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253686
\n", "
\n
\n\n
\n"], ["460", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Sciences
\n", "", "", "
Computed Tomography Technologist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150302
\n", "", "
A, Try V150381 OR V150319
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255828
\n", "
\n
\n\n
\n"], ["461", "Technologists, Technicians & Other Technical Service Providers", "", "
Technician, Other
\n", "", "", "
Darkroom
\n", "", "
Inactive
\n", "
2023-04-03 00:00:00
\n", "
V150303
\n", "
2472D0500X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255744
\n", "
\n
\n\n
\n"], ["462", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "
Sonography, Diagnostic Cardiac
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V150304
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255831
\n", "
\n
\n\n
\n"], ["463", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Sciences
\n", "", "", "
Diagnostic Imaging Operation Technologist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150305
\n", "", "
A, Try V15----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255834
\n", "
\n
\n\n
\n"], ["464", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiologic Technologist
\n", "", "
\nA radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols, \nradiation safety, and patient care.\n
\n
\n", "
Sonography
\n", "", "
Active
\n", "", "
V150306
\n", "
2471S1302X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255726
\n", "
\n
\n\n
\n"], ["465", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Sciences
\n", "", "", "
Magnetic Resonance Technologist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150307
\n", "", "
A, Try V150320 OR V150321
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255837
\n", "
\n
\n\n
\n"], ["466", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiologic Technologist
\n", "", "
\nA radiologic technologist who specializes in mammography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of mammogram imaging, exam techniques, equipment \nprotocols, radiation safety, and patient care.\n
\n
\n", "
Mammography
\n", "", "
Active
\n", "", "
V150308
\n", "
2471M2300X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255714
\n", "
\n
\n\n
\n"], ["467", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Sciences
\n", "", "", "
Nuclear Medicine Technician
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150309
\n", "", "
P468
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255840
\n", "
\n
\n\n
\n"], ["468", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiologic Technologist
\n", "", "
\nA radiologic technologist who specializes in nuclear medicine technology and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of nuclear medicine imaging, administration \nof radiopharmaceuticals to patients, exam techniques, equipment protocols, radiation safety, and patient care.\n
\n
\n", "
Nuclear Medicine Technology
\n", "", "
Active
\n", "", "
V150310
\n", "
2471N0900X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255717
\n", "
\n
\n\n
\n"], ["469", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Technologist
\n", "", "", "
Radiation Physicist
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V150311
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255843
\n", "
\n
\n\n
\n"], ["47", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Genetics, Clinical Biochemical
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111901
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253689
\n", "
\n
\n\n
\n"], ["470", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiologic Technologist
\n", "", "
\nA radiologic technologist who specializes in radiation therapy and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in administration of radiation therapy, exam techniques, \nequipment protocols, radiation safety, and patient care.\n
\n
\n", "
Radiation Therapy
\n", "", "
Active
\n", "", "
V150312
\n", "
2471R0002X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255723
\n", "
\n
\n\n
\n"], ["471", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Technologist
\n", "", "", "
Radiographer
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V150313
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255846
\n", "
\n
\n\n
\n"], ["472", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Sciences
\n", "", "", "
Radiologic Technician - Limited
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150314
\n", "", "
A, Try V1503--
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255849
\n", "
\n
\n\n
\n"], ["473", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Sciences
\n", "", "", "
Radiologic Technologist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150315
\n", "", "
A, Try V1503--
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255852
\n", "
\n
\n\n
\n"], ["474", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Technologist
\n", "", "", "
Dosimetrist, Medical
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V150316
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255855
\n", "
\n
\n\n
\n"], ["475", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Sciences
\n", "", "", "
Vascular Technologist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150317
\n", "", "
P459
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255858
\n", "
\n
\n\n
\n"], ["476", "Technologists, Technicians and Other Technical Service", "", "
Research
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150400
\n", "", "
P650
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255867
\n", "
\n
\n\n
\n"], ["477", "Technologists, Technicians and Other Technical Service", "", "
Research
\n", "", "", "
Animal Care Technician
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150401
\n", "", "
P490
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255870
\n", "
\n
\n\n
\n"], ["478", "Technologists, Technicians and Other Technical Service", "", "
Research
\n", "", "", "
Animal Room Attendant
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150402
\n", "", "
P490
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255873
\n", "
\n
\n\n
\n"], ["479", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "", "
Biomedical Photographer
\n", "", "
Inactive
\n", "
2023-04-03 00:00:00
\n", "
V150403
\n", "
246ZB0302X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255597
\n", "
\n
\n\n
\n"], ["48", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Genetics, Clinical Biochemical/ Molecular
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111902
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253692
\n", "
\n
\n\n
\n"], ["480", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "", "
Biostatistician
\n", "", "
Inactive
\n", "
2023-04-03 00:00:00
\n", "
V150404
\n", "
246ZB0600X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255603
\n", "
\n
\n\n
\n"], ["481", "Technologists, Technicians and Other Technical Service", "", "
Research
\n", "", "", "
Graphics Designer
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150405
\n", "", "
P648
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255876
\n", "
\n
\n\n
\n"], ["482", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "", "
Art, Medical
\n", "", "
Inactive
\n", "
2023-04-03 00:00:00
\n", "
V150406
\n", "
246ZA2600X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255591
\n", "
\n
\n\n
\n"], ["483", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "", "
Illustration, Medical
\n", "", "
Inactive
\n", "
2023-04-03 00:00:00
\n", "
V150407
\n", "
246ZI1000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255672
\n", "
\n
\n\n
\n"], ["484", "Technologists, Technicians and Other Technical Service", "", "
Research
\n", "", "", "
Medical Media Manager
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150408
\n", "", "
A,
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255879
\n", "
\n
\n\n
\n"], ["485", "Technologists, Technicians and Other Technical Service", "", "
Research
\n", "", "", "
Research Data Abstracter/Coder
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150409
\n", "", "
P649
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255882
\n", "
\n
\n\n
\n"], ["486", "Technologists, Technicians & Other Technical Services", "", "
Research
\n", "", "", "
Research Study Specialist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150410
\n", "", "
P650
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255759
\n", "
\n
\n\n
\n"], ["487", "Technologists, Technicians and Other Technical Service", "", "
Research
\n", "", "", "
Research Technician
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150411
\n", "", "
P650
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255885
\n", "
\n
\n\n
\n"], ["488", "Technologists, Technicians and Other Technical Service", "", "
Research
\n", "", "", "
Research Technologist
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150412
\n", "", "
P650
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255888
\n", "
\n
\n\n
\n"], ["489", "Technologists, Technicians & Other Technical Services", "", "
Research
\n", "", "", "
Veterinarian
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V150413
\n", "", "
P651
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255762
\n", "
\n
\n\n
\n"], ["49", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Cytogenetics, Clinical
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111903
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253695
\n", "
\n
\n\n
\n"], ["490", "Technologists, Technicians & Other Technical Service Providers", "", "
Technician, Other
\n", "", "", "
Veterinary
\n", "", "
Inactive
\n", "
2023-04-03 00:00:00
\n", "
V150414
\n", "
2472V0600X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255753
\n", "
\n
\n\n
\n"], ["491", "Other Service", "", "", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V080000
\n", "", "
A,
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253098
\n", "
\n
\n\n
\n"], ["492", "Other Service Providers", "", "
Acupuncturist
\n", "", "
\nAn acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.\n
\n
\n", "", "", "
Active
\n", "", "
V080100
\n", "
171100000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253161
\n", "
\n
\n\n
\n"], ["493", "Other Service Providers", "", "
Driver
\n", "", "
\nA person employed to operate a motor vehicle as a carrier of persons or property.\n
\n
\n", "", "", "
Active
\n", "", "
V080200
\n", "
172A00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253179
\n", "
\n
\n\n
\n"], ["494", "Other Service", "", "
Driver
\n", "", "", "
Taxi Driver
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V080212
\n", "", "
P493
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253107
\n", "
\n
\n\n
\n"], ["495", "Other Service", "", "
Driver
\n", "", "", "
Volunteer Driver
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V080203
\n", "", "
P493
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253104
\n", "
\n
\n\n
\n"], ["496", "Other Service", "", "
Driver
\n", "", "", "
Paid Driver
\n", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V080201
\n", "", "
P493
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253101
\n", "
\n
\n\n
\n"], ["497", "Other Service", "", "
Electrologist
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V080300
\n", "", "
A,
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253110
\n", "
\n
\n\n
\n"], ["498", "Other Service", "", "
Home Health Aide
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V080400
\n", "", "
P670
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253113
\n", "
\n
\n\n
\n"], ["499", "Other Service Providers", "", "
Contractor
\n", "", "
\nA contractor who makes modifications to homes to accommodate a health condition.\n
\n
\n", "
Home Modifications
\n", "", "
Active
\n", "", "
V080500
\n", "
171WH0202X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253173
\n", "
\n
\n\n
\n"], ["5", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Allergy
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110200
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253527
\n", "
\n
\n\n
\n"], ["50", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Genetics, Clinical (M.D.)
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111904
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253698
\n", "
\n
\n\n
\n"], ["500", "Other Service", "", "
Homemaker
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V080600
\n", "", "
P671
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253116
\n", "
\n
\n\n
\n"], ["501", "Other Service Providers", "", "
Homeopath
\n", "", "
\nA provider who is educated and trained in a system of therapeutics in which diseases are treated by drugs which are capable of producing in healthy persons symptoms like those of the disease to be treated. Treatment requires administering a drug \nin minute doses.\n
\n
\n", "", "", "
Active
\n", "", "
V080700
\n", "
175L00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253236
\n", "
\n
\n\n
\n"], ["502", "Other Service", "", "
Medical Record Administrator
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V080800
\n", "", "
P652
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253119
\n", "
\n
\n\n
\n"], ["503", "Other Service", "", "
Medical Record Technician
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V080900
\n", "", "
P653
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253122
\n", "
\n
\n\n
\n"], ["504", "Other Service Providers", "", "
Midwife, Lay
\n", "", "
\nA person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states.\n
\n
\n", "", "", "
Active
\n", "", "
V081000
\n", "
175M00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253239
\n", "
\n
\n\n
\n"], ["505", "Other Service Providers", "", "
Naturopath
\n", "", "
\nDiagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such \nas air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together \nwith natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are \ncomponents of body tissues and are physiologically compatible to body processes for maintenance of life.\n
\n
\n", "", "", "
Active
\n", "", "
V081100
\n", "
175F00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253233
\n", "
\n
\n\n
\n"], ["506", "Other Service", "", "
Nursing Home Administrator
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V081200
\n", "", "
P674
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253125
\n", "
\n
\n\n
\n"], ["507", "Other Service", "", "
Perfusionist
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V081400
\n", "", "
P445
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253131
\n", "
\n
\n\n
\n"], ["508", "Other Service", "", "
Personal Care Attendant
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V081500
\n", "", "
P673
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253134
\n", "
\n
\n\n
\n"], ["509", "Other Service", "", "
Phlebotomist (non-nurse)
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V081600
\n", "", "
P427
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253137
\n", "
\n
\n\n
\n"], ["51", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Genetics, Clinical Molecular
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111905
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253701
\n", "
\n
\n\n
\n"], ["510", "Other Service", "", "
Other (as specified)
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V081300
\n", "", "
A,
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253128
\n", "
\n
\n\n
\n"], ["511", "Respiratory, Rehabilitative and Restorative Service", "", "
Respiratory Care Practitioner
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V130500
\n", "", "
A, Try V1305--
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255366
\n", "
\n
\n\n
\n"], ["512", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., \ngambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.\n
\n
\n", "
Addiction (Substance Use Disorder)
\n", "", "
Active
\n", "", "
V010409
\n", "
103TA0400X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252324
\n", "
\n
\n\n
\n"], ["513", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later \nlife. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.\n
\n
\n", "
Adult Development & Aging
\n", "", "
Active
\n", "", "
V010410
\n", "
103TA0700X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252327
\n", "
\n
\n\n
\n"], ["514", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology \nis an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children \nand adolescents.\n
\n
\n", "
Clinical Child & Adolescent
\n", "", "
Active
\n", "", "
V010411
\n", "
103TC2200X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252339
\n", "
\n
\n\n
\n"], ["515", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "", "
Educational
\n", "", "
Inactive
\n", "
2009-04-22 00:00:00
\n", "
V010412
\n", "
103TE1000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252342
\n", "
\n
\n\n
\n"], ["516", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated \nwith sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have \nearned a doctoral degree in sport psychology but are not licensed psychologists.\n
\n
\n", "
Exercise & Sports
\n", "", "
Active
\n", "", "
V010413
\n", "
103TE1100X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252345
\n", "
\n
\n\n
\n"], ["517", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "", "
Men & Masculinity
\n", "", "
Inactive
\n", "
2009-04-22 00:00:00
\n", "
V010414
\n", "
103TM1700X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252360
\n", "
\n
\n\n
\n"], ["518", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "", "
Intellectual & Developmental Disabilities
\n", "", "
Active
\n", "", "
V010415
\n", "
103TM1800X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252363
\n", "
\n
\n\n
\n"], ["519", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "", "
Psychotherapy
\n", "", "
Inactive
\n", "
2009-04-22 00:00:00
\n", "
V010416
\n", "
103TP2700X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252372
\n", "
\n
\n\n
\n"], ["52", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neopathology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V112000
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253707
\n", "
\n
\n\n
\n"], ["520", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal \nfunctioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, \nadults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.\n
\n
\n", "
Group Psychotherapy
\n", "", "
Active
\n", "", "
V010417
\n", "
103TP2701X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252375
\n", "
\n
\n\n
\n"], ["521", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and \nfunctional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for \npeople with disabilities.\n
\n
\n", "
Rehabilitation
\n", "", "
Active
\n", "", "
V010418
\n", "
103TR0400X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252378
\n", "
\n
\n\n
\n"], ["522", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "", "
Women
\n", "", "
Inactive
\n", "
2009-04-22 00:00:00
\n", "
V010419
\n", "
103TW0100X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252384
\n", "
\n
\n\n
\n"], ["523", "Eye and Vision Services Providers", "", "
Technician/Technologist
\n", "", "
\nAn optometric assistant assists optometrists by performing duties, including but not limited to, customer service, basic eye testing, and patient education.\n
\n
\n", "
Optometric Assistant
\n", "", "
Active
\n", "", "
V060701
\n", "
156FX1201X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252633
\n", "
\n
\n\n
\n"], ["524", "Eye and Vision Services Providers", "", "
Technician/Technologist
\n", "", "
\nAn optometric technician assists optometrists by performing duties, including but not limited to, basic eye testing, diagnostic tests, and assistance with corrective lenses.\n
\n
\n", "
Optometric Technician
\n", "", "
Active
\n", "", "
V060702
\n", "
156FX1202X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252636
\n", "
\n
\n\n
\n"], ["525", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Acute Care
\n", "", "
Active
\n", "", "
V100301
\n", "
364SA2100X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253410
\n", "
\n
\n\n
\n"], ["526", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Adult Health
\n", "", "
Active
\n", "", "
V100302
\n", "
364SA2200X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253413
\n", "
\n
\n\n
\n"], ["527", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Critical Care Medicine
\n", "", "
Active
\n", "", "
V100305
\n", "
364SC0200X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253416
\n", "
\n
\n\n
\n"], ["528", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Chronic Care
\n", "", "
Active
\n", "", "
V100303
\n", "
364SC2300X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253422
\n", "
\n
\n\n
\n"], ["529", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Emergency
\n", "", "
Active
\n", "", "
V100306
\n", "
364SE0003X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253425
\n", "
\n
\n\n
\n"], ["53", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neurology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V112100
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253710
\n", "
\n
\n\n
\n"], ["530", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Ethics
\n", "", "
Active
\n", "", "
V100307
\n", "
364SE1400X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253428
\n", "
\n
\n\n
\n"], ["531", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Family Health
\n", "", "
Active
\n", "", "
V100308
\n", "
364SF0001X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253431
\n", "
\n
\n\n
\n"], ["532", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Home Health
\n", "", "
Active
\n", "", "
V100311
\n", "
364SH0200X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253437
\n", "
\n
\n\n
\n"], ["533", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Holistic
\n", "", "
Active
\n", "", "
V100310
\n", "
364SH1100X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253440
\n", "
\n
\n\n
\n"], ["534", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Informatics
\n", "", "
Active
\n", "", "
V100312
\n", "
364SI0800X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253443
\n", "
\n
\n\n
\n"], ["535", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Long-Term Care
\n", "", "
Active
\n", "", "
V100313
\n", "
364SL0600X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253446
\n", "
\n
\n\n
\n"], ["536", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Neonatal
\n", "", "
Active
\n", "", "
V100315
\n", "
364SN0000X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253452
\n", "
\n
\n\n
\n"], ["537", "Physician Assistants & Advanced Practice Nursing", "", "
Clinical Nurse Specialist
\n", "", "", "
Neonatal, High-Risk
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V100316
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253317
\n", "
\n
\n\n
\n"], ["538", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Neuroscience
\n", "", "
Active
\n", "", "
V100317
\n", "
364SN0800X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253455
\n", "
\n
\n\n
\n"], ["539", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Pediatrics
\n", "", "
Active
\n", "", "
V100321
\n", "
364SP0200X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253458
\n", "
\n
\n\n
\n"], ["54", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neuroradiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V112300
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253719
\n", "
\n
\n\n
\n"], ["540", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Psychiatric/Mental Health
\n", "", "
Active
\n", "", "
V100324
\n", "
364SP0808X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253464
\n", "
\n
\n\n
\n"], ["541", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Psychiatric/Mental Health, Adult
\n", "", "
Active
\n", "", "
V100325
\n", "
364SP0809X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253467
\n", "
\n
\n\n
\n"], ["542", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Psychiatric/Mental Health, Child & Family
\n", "", "
Active
\n", "", "
V100327
\n", "
364SP0810X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253470
\n", "
\n
\n\n
\n"], ["543", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Psychiatric/Mental Health, Chronically Ill
\n", "", "
Active
\n", "", "
V100328
\n", "
364SP0811X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253473
\n", "
\n
\n\n
\n"], ["544", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Psychiatric/Mental Health, Community
\n", "", "
Active
\n", "", "
V100329
\n", "
364SP0812X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253476
\n", "
\n
\n\n
\n"], ["545", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Psychiatric/Mental Health, Geropsychiatric
\n", "", "
Active
\n", "", "
V100330
\n", "
364SP0813X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253479
\n", "
\n
\n\n
\n"], ["546", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Perinatal
\n", "", "
Active
\n", "", "
V100322
\n", "
364SP1700X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253482
\n", "
\n
\n\n
\n"], ["547", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Perioperative
\n", "", "
Active
\n", "", "
V100323
\n", "
364SP2800X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253485
\n", "
\n
\n\n
\n"], ["548", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Rehabilitation
\n", "", "
Active
\n", "", "
V100331
\n", "
364SR0400X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253488
\n", "
\n
\n\n
\n"], ["549", "Physician Assistants & Advanced Practice Nursing", "", "
Clinical Nurse Specialist
\n", "", "", "
Rural Health
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V100332
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253320
\n", "
\n
\n\n
\n"], ["55", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neurology, Child
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V112200
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253716
\n", "
\n
\n\n
\n"], ["550", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
School
\n", "", "
Active
\n", "", "
V100333
\n", "
364SS0200X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253491
\n", "
\n
\n\n
\n"], ["551", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Transplantation
\n", "", "
Active
\n", "", "
V100334
\n", "
364ST0500X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253494
\n", "
\n
\n\n
\n"], ["552", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Women's Health
\n", "", "
Active
\n", "", "
V100335
\n", "
364SW0102X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253497
\n", "
\n
\n\n
\n"], ["553", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Occupational Health
\n", "", "
Active
\n", "", "
V100318
\n", "
364SX0106X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253500
\n", "
\n
\n\n
\n"], ["554", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Oncology
\n", "", "
Active
\n", "", "
V100319
\n", "
364SX0200X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253503
\n", "
\n
\n\n
\n"], ["555", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Oncology, Pediatrics
\n", "", "
Active
\n", "", "
V100320
\n", "
364SX0204X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253506
\n", "
\n
\n\n
\n"], ["556", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Acute Care
\n", "", "
Active
\n", "", "
V100601
\n", "
363LA2100X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253353
\n", "
\n
\n\n
\n"], ["557", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Critical Care Medicine
\n", "", "
Active
\n", "", "
V100604
\n", "
363LC0200X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253362
\n", "
\n
\n\n
\n"], ["558", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Community Health
\n", "", "
Active
\n", "", "
V100603
\n", "
363LC1500X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253365
\n", "
\n
\n\n
\n"], ["559", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Neonatal, Critical Care
\n", "", "
Active
\n", "", "
V100608
\n", "
363LN0005X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253377
\n", "
\n
\n\n
\n"], ["56", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Nuclear Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V112600
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253728
\n", "
\n
\n\n
\n"], ["560", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Pediatrics, Critical Care
\n", "", "
Active
\n", "", "
V100613
\n", "
363LP0222X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253383
\n", "
\n
\n\n
\n"], ["561", "Physician Assistants & Advanced Practice Nursing", "", "
Nurse Practitioner
\n", "", "", "
Pediatrics: Acute Care
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V100612
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253323
\n", "
\n
\n\n
\n"], ["562", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Psychiatric/Mental Health
\n", "", "
Active
\n", "", "
V100616
\n", "
363LP0808X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253386
\n", "
\n
\n\n
\n"], ["563", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Perinatal
\n", "", "
Active
\n", "", "
V100614
\n", "
363LP1700X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253389
\n", "
\n
\n\n
\n"], ["564", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Primary Care
\n", "", "
Active
\n", "", "
V100615
\n", "
363LP2300X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253392
\n", "
\n
\n\n
\n"], ["565", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Women's Health
\n", "", "
Active
\n", "", "
V100618
\n", "
363LW0102X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253398
\n", "
\n
\n\n
\n"], ["566", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Occupational Health
\n", "", "
Active
\n", "", "
V100610
\n", "
363LX0106X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253404
\n", "
\n
\n\n
\n"], ["567", "Nursing Service Providers", "", "
Registered Nurse
\n", "", "", "
Psychiatric/Mental Health, Child & Adolescent
\n", "", "
Active
\n", "", "
V070953
\n", "
163WP0807X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252978
\n", "
\n
\n\n
\n"], ["568", "Other Service Providers", "", "
Funeral Director
\n", "", "
\nA person, usually an embalmer, whose business is to arrange for the burial or cremation of the dead and to assist at the funeral rites.\n
\n
\n", "", "", "
Active
\n", "", "
V081700
\n", "
176P00000X
\n", "", "
59
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253251
\n", "
\n
\n\n
\n"], ["569", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Adolescent Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118301
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254142
\n", "
\n
\n\n
\n"], ["57", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Nuclear Medicine, In Vivo & In Vitro
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V112601
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253731
\n", "
\n
\n\n
\n"], ["570", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Adolescent Medicine: Family Practice
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118302
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254145
\n", "
\n
\n\n
\n"], ["571", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Aerospace Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118303
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254148
\n", "
\n
\n\n
\n"], ["572", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Allergy & Immunology: Internal Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118304
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254151
\n", "
\n
\n\n
\n"], ["573", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Adolescent Only, Under 16
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118305
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254154
\n", "
\n
\n\n
\n"], ["574", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Adolescent Only, Under 21
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118306
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254157
\n", "
\n
\n\n
\n"], ["575", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Age Specific, Greater than 1 Year Old
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118307
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254160
\n", "
\n
\n\n
\n"], ["576", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Age Specific, Newborns Only
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118308
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254163
\n", "
\n
\n\n
\n"], ["577", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Blood Banking
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118309
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254166
\n", "
\n
\n\n
\n"], ["578", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Cardiac Electrophysiology, Clinical
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118310
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254169
\n", "
\n
\n\n
\n"], ["579", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Critical Care Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118311
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254172
\n", "
\n
\n\n
\n"], ["58", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Nuclear Cardiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V112400
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253722
\n", "
\n
\n\n
\n"], ["580", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Diabetes
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118312
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254175
\n", "
\n
\n\n
\n"], ["581", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Endocrinology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118313
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254178
\n", "
\n
\n\n
\n"], ["582", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Geriatric Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118314
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254181
\n", "
\n
\n\n
\n"], ["583", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Gynecology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118315
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254184
\n", "
\n
\n\n
\n"], ["584", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Hematology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118316
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254187
\n", "
\n
\n\n
\n"], ["585", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Immunology, Clinical & Laboratory
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118317
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254190
\n", "
\n
\n\n
\n"], ["586", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Immunology, Dermatological
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118318
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254193
\n", "
\n
\n\n
\n"], ["587", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Immunology: Laboratory, Diagnostic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118319
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254196
\n", "
\n
\n\n
\n"], ["588", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Infertility
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118320
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254199
\n", "
\n
\n\n
\n"], ["589", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neonatology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118321
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254202
\n", "
\n
\n\n
\n"], ["59", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Nuclear Imaging & Therapy
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V112500
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253725
\n", "
\n
\n\n
\n"], ["590", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Public Health: Preventive Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118322
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254205
\n", "
\n
\n\n
\n"], ["591", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pharmacotherapy
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118323
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254208
\n", "
\n
\n\n
\n"], ["592", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychopharmacy
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118324
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254211
\n", "
\n
\n\n
\n"], ["593", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pain Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118325
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254214
\n", "
\n
\n\n
\n"], ["594", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiology, Angiography & Interventional
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118326
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254217
\n", "
\n
\n\n
\n"], ["595", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiology, Therapeutic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118327
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254220
\n", "
\n
\n\n
\n"], ["596", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radium Therapy
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118328
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254223
\n", "
\n
\n\n
\n"], ["597", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Rhinology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118329
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254226
\n", "
\n
\n\n
\n"], ["598", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Roentgenology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118330
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254229
\n", "
\n
\n\n
\n"], ["599", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Roentgenology, Diagnostic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118331
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254232
\n", "
\n
\n\n
\n"], ["6", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Anesthesiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110400
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253536
\n", "
\n
\n\n
\n"], ["60", "Physicians (M.D. and D.O.)", "", "
Nutrition
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V112700
\n", "", "
A, Try V11----
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253734
\n", "
\n
\n\n
\n"], ["600", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Sports Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118332
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254235
\n", "
\n
\n\n
\n"], ["601", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Abdominal
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118333
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254238
\n", "
\n
\n\n
\n"], ["602", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Facial Plastic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118334
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254241
\n", "
\n
\n\n
\n"], ["603", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Toxicology, Medical
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118335
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254244
\n", "
\n
\n\n
\n"], ["604", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Thermography
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118336
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254247
\n", "
\n
\n\n
\n"], ["605", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Occupational Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118337
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254250
\n", "
\n
\n\n
\n"], ["606", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Oncology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118338
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254253
\n", "
\n
\n\n
\n"], ["607", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Otorhinolaryngology & Head-Neck
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118339
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254256
\n", "
\n
\n\n
\n"], ["608", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Orthopedic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118340
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254259
\n", "
\n
\n\n
\n"], ["609", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Orthotist
\n", "", "
\nA health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper \nextremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.\n
\n
\n", "", "", "
Active
\n", "", "
V130213
\n", "
222Z00000X
\n", "", "
55
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255075
\n", "
\n
\n\n
\n"], ["61", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Obstetrics & Gynecology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V112900
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253740
\n", "
\n
\n\n
\n"], ["610", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Prosthetist
\n", "", "
\nA health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate \nan appropriate treatment plan, implement the treatment plan and provide follow-up care.\n
\n
\n", "", "", "
Active
\n", "", "
V130214
\n", "
224P00000X
\n", "", "
56
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255084
\n", "
\n
\n\n
\n"], ["611", "Respiratory, Rehabilitative and Restorative Service", "", "
Physical Therapist
\n", "", "", "
Case Management
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V130310
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255354
\n", "
\n
\n\n
\n"], ["612", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Physical Therapist
\n", "", "
\nA licensed physical therapist who has demonstrated specialized knowledge and skills pertaining to the workplace, occupational demands, prevention of work-related injury, management of the worker with job-related symptoms or participation restrictions, \nand provides individual, group or population level evaluation, intervention and consulting to enhance worker performance.\n
\n
\n", "
Ergonomics
\n", "", "
Active
\n", "", "
V130311
\n", "
2251E1200X
\n", "", "
65
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255114
\n", "
\n
\n\n
\n"], ["613", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Physical Therapist
\n", "", "", "
Human Factors
\n", "", "
Active
\n", "", "
V130312
\n", "
2251H1300X
\n", "", "
65
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255126
\n", "
\n
\n\n
\n"], ["614", "Respiratory, Rehabilitative and Restorative Service", "", "
Respiratory Therapist
\n", "", "", "
Perinatal
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V130511
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255396
\n", "
\n
\n\n
\n"], ["615", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Rehabilitation Counselor
\n", "", "", "
Assistive Technology Practitioner
\n", "", "
Active
\n", "", "
V130406
\n", "
225CA2400X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255183
\n", "
\n
\n\n
\n"], ["616", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Rehabilitation Counselor
\n", "", "", "
Assistive Technology Supplier
\n", "", "
Active
\n", "", "
V130407
\n", "
225CA2500X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255186
\n", "
\n
\n\n
\n"], ["617", "Respiratory, Rehabilitative and Restorative Service", "", "
Occupational Therapist
\n", "", "", "
Case Management
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V130104
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255336
\n", "
\n
\n\n
\n"], ["618", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapist
\n", "", "", "
Ergonomics
\n", "", "
Active
\n", "", "
V130105
\n", "
225XE1200X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255198
\n", "
\n
\n\n
\n"], ["619", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapist
\n", "", "", "
Human Factors
\n", "", "
Active
\n", "", "
V130106
\n", "
225XH1300X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255210
\n", "
\n
\n\n
\n"], ["62", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Critical Care Medicine: OB/GYN
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V112901
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253743
\n", "
\n
\n\n
\n"], ["620", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapist
\n", "", "", "
Neurorehabilitation
\n", "", "
Active
\n", "", "
V130107
\n", "
225XN1300X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255219
\n", "
\n
\n\n
\n"], ["621", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapist
\n", "", "
\nOccupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." \nOccupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning \nand school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, \noccupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.\n
\n
\n", "
Pediatrics
\n", "", "
Active
\n", "", "
V130108
\n", "
225XP0200X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255225
\n", "
\n
\n\n
\n"], ["622", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Occupational Therapist
\n", "", "
\nOccupational therapists can optimize and prolong an older driver's ability to drive safely and ease the transition to other forms of transportation if driving cessation becomes necessary. By identifying strengths as well as physical or cognitive \nchallenges, occupational therapists can evaluate an individual's overall ability to operate a vehicle safely and recommend assistive devices or behavioral changes to limit risks. Occupational therapy practitioners offer a continuum of services related \nto community mobility, from evaluation of driving performance, through counseling and support for lifestyle changes, to maintaining independence and quality of life.\n
\n
\n", "
Driving and Community Mobility
\n", "", "
Active
\n", "", "
V130109
\n", "
225XR0403X
\n", "", "
67
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255228
\n", "
\n
\n\n
\n"], ["623", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Kinesiotherapist
\n", "", "
\nA provider trained and educated in the applied science of medically prescribed therapeutic exercise, education and adapted physical activities designed to improve the quality of line and health of adults and children by developing physical fitness, \nincreasing mobility and independence, and improving psychosocial behavior. The kinesiotherapist seeks a coach-player relationship in which he/she helps the patient/client reach the goal of becoming an independent, self-sustaining person. Kinesiotherapists, \nas compared with physical therapists, put more emphasis on geriatric care, reconditioning and fitness, and psychiatric care. A large percentage of kinesiotherapists practice in Veterans Administration hospitals.\n
\n
\n", "", "", "
Active
\n", "", "
V130600
\n", "
226300000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255237
\n", "
\n
\n\n
\n"], ["624", "Speech, Language and Hearing Service Providers", "", "
Audiologist
\n", "", "", "
Assistive Technology Practitioner
\n", "", "
Active
\n", "", "
V140101
\n", "
231HA2400X
\n", "", "
64
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255438
\n", "
\n
\n\n
\n"], ["625", "Speech, Language and Hearing Service Providers", "", "
Audiologist
\n", "", "", "
Assistive Technology Supplier
\n", "", "
Active
\n", "", "
V140102
\n", "
231HA2500X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255441
\n", "
\n
\n\n
\n"], ["626", "Speech, Language and Hearing Service Providers", "", "
Specialist/Technologist
\n", "", "", "
Audiology Assistant
\n", "", "
Active
\n", "", "
V140701
\n", "
2355A2700X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255447
\n", "
\n
\n\n
\n"], ["627", "Other Service Providers", "", "
Specialist
\n", "", "
\nA case manager who provides services for patients with prosthetics.\n
\n
\n", "
Prosthetics Case Management
\n", "", "
Active
\n", "", "
V081905
\n", "
1744P3200X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253209
\n", "
\n
\n\n
\n"], ["628", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Pathology
\n", "", "", "
Laboratory Management
\n", "", "
Active
\n", "", "
V150601
\n", "
246QL0900X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255636
\n", "
\n
\n\n
\n"], ["629", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "
Cardiovascular: Noninvasive Technology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V150701
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255891
\n", "
\n
\n\n
\n"], ["63", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Oncology, Gynecologic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V112902
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253746
\n", "
\n
\n\n
\n"], ["630", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "
Cardiovascular: Vascular Technology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V150702
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255894
\n", "
\n
\n\n
\n"], ["631", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "
Vascular
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V150703
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255897
\n", "
\n
\n\n
\n"], ["632", "Technologists, Technicians and Other Technical Service", "", "
Technician, Cardiology
\n", "", "", "
Cardiographic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V150801
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255903
\n", "
\n
\n\n
\n"], ["633", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Health Information
\n", "", "", "
Coding Specialist, Hospital Based
\n", "", "
Inactive
\n", "
2023-04-03 00:00:00
\n", "
V150901
\n", "
246YC3301X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255579
\n", "
\n
\n\n
\n"], ["634", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Health Information
\n", "", "", "
Coding Specialist, Physician Office Based
\n", "", "
Inactive
\n", "
2023-04-03 00:00:00
\n", "
V150902
\n", "
246YC3302X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255582
\n", "
\n
\n\n
\n"], ["635", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "", "
Biochemist
\n", "", "
Inactive
\n", "
2025-04-01 00:00:00
\n", "
V151001
\n", "
246ZB0500X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255600
\n", "
\n
\n\n
\n"], ["636", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Other
\n", "", "", "
Forensic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V151002
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255906
\n", "
\n
\n\n
\n"], ["637", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "", "
Nephrology
\n", "", "
Active
\n", "", "
V151003
\n", "
246ZN0300X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255675
\n", "
\n
\n\n
\n"], ["638", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Other
\n", "", "", "
Virology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V151004
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255909
\n", "
\n
\n\n
\n"], ["639", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiologic Technologist
\n", "", "
\nA radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam techniques, equipment \nprotocols, radiation safety, and patient care.\n
\n
\n", "
Computed Tomography
\n", "", "
Active
\n", "", "
V150318
\n", "
2471C3401X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255705
\n", "
\n
\n\n
\n"], ["64", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Maternal & Fetal Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V112903
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253749
\n", "
\n
\n\n
\n"], ["640", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiologic Technologist
\n", "", "
\nA radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, \nequipment protocols, radiation safety, and patient care.\n
\n
\n", "
Radiography
\n", "", "
Active
\n", "", "
V150319
\n", "
2471C3402X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255708
\n", "
\n
\n\n
\n"], ["641", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Technologist
\n", "", "", "
Magnetic Resonance Imaging (MRI): Radiation Therapy
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V150320
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255861
\n", "
\n
\n\n
\n"], ["642", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiologic Technologist
\n", "", "
\nA radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, \nequipment protocols, radiation safety, and patient care.\n
\n
\n", "
Magnetic Resonance Imaging
\n", "", "
Active
\n", "", "
V150321
\n", "
2471M1202X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255711
\n", "
\n
\n\n
\n"], ["643", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiologic Technologist
\n", "", "
\nA radiologic technologist who specializes in quality management.\n
\n
\n", "
Quality Management
\n", "", "
Active
\n", "", "
V150322
\n", "
2471Q0001X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255720
\n", "
\n
\n\n
\n"], ["644", "Technologists, Technicians and Other Technical Service", "", "
Radiologic Technologist
\n", "", "", "
Quality Management: Radiographer
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V150323
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255864
\n", "
\n
\n\n
\n"], ["645", "Physicians (Other Roles)", "", "
Physician/Osteopath
\n", "", "", "
Laboratory Service Provider
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V160101
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254982
\n", "
\n
\n\n
\n"], ["646", "Physicians (Other Roles)", "", "
Physician/Osteopath
\n", "", "", "
Supplier
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V160102
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254985
\n", "
\n
\n\n
\n"], ["647", "Other Service Providers", "", "
Legal Medicine
\n", "", "
\nThe specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial \nproceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.\n
\n
\n", "", "", "
Active
\n", "", "
V081800
\n", "
173000000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253191
\n", "
\n
\n\n
\n"], ["648", "Other Service Providers", "", "
Specialist
\n", "", "", "
Graphics Designer
\n", "", "
Inactive
\n", "
2025-04-01 00:00:00
\n", "
V081901
\n", "
1744G0900X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253206
\n", "
\n
\n\n
\n"], ["649", "Other Service Providers", "", "
Specialist
\n", "", "", "
Research Data Abstracter/Coder
\n", "", "
Inactive
\n", "
2025-04-01 00:00:00
\n", "
V081903
\n", "
1744R1103X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253215
\n", "
\n
\n\n
\n"], ["65", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Endocrinology, Reproductive
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V112904
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253752
\n", "
\n
\n\n
\n"], ["650", "Other Service Providers", "", "
Specialist
\n", "", "", "
Research Study
\n", "", "
Inactive
\n", "
2025-04-01 00:00:00
\n", "
V081904
\n", "
1744R1102X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253212
\n", "
\n
\n\n
\n"], ["651", "Other Service Providers", "", "
Veterinarian
\n", "", "", "
Medical Research
\n", "", "
Inactive
\n", "
2025-04-01 00:00:00
\n", "
V082001
\n", "
174MM1900X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253224
\n", "
\n
\n\n
\n"], ["652", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Health Information
\n", "", "", "
Registered Record Administrator
\n", "", "
Inactive
\n", "
2023-04-03 00:00:00
\n", "
V150903
\n", "
246YR1600X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255585
\n", "
\n
\n\n
\n"], ["653", "Technologists, Technicians & Other Technical Service Providers", "", "
Technician, Health Information
\n", "", "", "
Assistant Record Technician
\n", "", "
Inactive
\n", "
2023-04-03 00:00:00
\n", "
V151101
\n", "
2470A2800X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255687
\n", "
\n
\n\n
\n"], ["654", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "
\nA registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of \nthe components of direct patient/client care, consultation, education, research and administration.\n
\n
\n", "", "", "
Active
\n", "", "
V100300
\n", "
364S00000X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253407
\n", "
\n
\n\n
\n"], ["655", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Community Health/Public Health
\n", "", "
Active
\n", "", "
V100304
\n", "
364SC1501X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253419
\n", "
\n
\n\n
\n"], ["656", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Gerontology
\n", "", "
Active
\n", "", "
V100309
\n", "
364SG0600X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253434
\n", "
\n
\n\n
\n"], ["657", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Medical-Surgical
\n", "", "
Active
\n", "", "
V100314
\n", "
364SM0705X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253449
\n", "
\n
\n\n
\n"], ["658", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Clinical Nurse Specialist
\n", "", "", "
Psychiatric/Mental Health, Child & Adolescent
\n", "", "
Active
\n", "", "
V100326
\n", "
364SP0807X
\n", "", "
89
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253461
\n", "
\n
\n\n
\n"], ["659", "Physician Assistants & Advanced Practice Nursing", "", "
Midwife, Certified
\n", "", "", "", "", "
Inactive
\n", "
2002-12-20 00:00:00
\n", "
V100400
\n", "
366B00000N
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253335
\n", "
\n
\n\n
\n"], ["66", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Obstetrics
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V112800
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253737
\n", "
\n
\n\n
\n"], ["660", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Anesthetist, Certified Registered
\n", "", "
\n(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management \nand resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by \nthe Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical \ncondition.\n
\n
\n", "", "", "
Active
\n", "", "
V100500
\n", "
367500000X
\n", "", "
43
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253509
\n", "
\n
\n\n
\n"], ["661", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "
\n(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified \nspecialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners \nvary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse \npractitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.\n
\n
\n", "", "", "
Active
\n", "", "
V100600
\n", "
363L00000X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253347
\n", "
\n
\n\n
\n"], ["662", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Adult Health
\n", "", "
Active
\n", "", "
V100602
\n", "
363LA2200X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253356
\n", "
\n
\n\n
\n"], ["663", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Family
\n", "", "
Active
\n", "", "
V100605
\n", "
363LF0000X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253368
\n", "
\n
\n\n
\n"], ["664", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Gerontology
\n", "", "
Active
\n", "", "
V100606
\n", "
363LG0600X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253371
\n", "
\n
\n\n
\n"], ["665", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Neonatal
\n", "", "
Active
\n", "", "
V100607
\n", "
363LN0000X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253374
\n", "
\n
\n\n
\n"], ["666", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Obstetrics & Gynecology
\n", "", "
Active
\n", "", "
V100609
\n", "
363LX0001X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253401
\n", "
\n
\n\n
\n"], ["667", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
Pediatrics
\n", "", "
Active
\n", "", "
V100611
\n", "
363LP0200X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253380
\n", "
\n
\n\n
\n"], ["668", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Nurse Practitioner
\n", "", "", "
School
\n", "", "
Active
\n", "", "
V100617
\n", "
363LS0200X
\n", "", "
50
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253395
\n", "
\n
\n\n
\n"], ["669", "Nursing Service Related Providers", "", "
Religious Nonmedical Nursing Personnel
\n", "", "
\nReligious nonmedical nursing personnel are experienced in caring for the physical needs of nonmedical patients. For example, caring for the physical needs such as assistance with activities of daily living; assistance with moving, positioning, and \nambulation; nutritional needs; and comfort and support measures.\n
\n
\n", "", "", "
Active
\n", "", "
V170100
\n", "
374T00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253059
\n", "
\n
\n\n
\n"], ["67", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Ophthalmology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113000
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253755
\n", "
\n
\n\n
\n"], ["670", "Nursing Service Related Providers", "", "
Home Health Aide
\n", "", "
\nA person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.\n
\n
\n", "", "", "
Active
\n", "", "
V170200
\n", "
374U00000X
\n", "", "
A4
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253062
\n", "
\n
\n\n
\n"], ["671", "Nursing Service Related Providers", "", "
Homemaker
\n", "", "
\nAn individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must \nmeet the state defined training standards.\n
\n
\n", "", "", "
Active
\n", "", "
V170300
\n", "
376J00000X
\n", "", "
A4
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253068
\n", "
\n
\n\n
\n"], ["672", "Nursing Service Related Providers", "", "
Nurse's Aide
\n", "", "
\n(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally \nof less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, \ndiapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.\n
\n
\n", "", "", "
Active
\n", "", "
V170400
\n", "
376K00000X
\n", "", "
A4
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253071
\n", "
\n
\n\n
\n"], ["673", "Nursing Service Related Providers", "", "
Technician
\n", "", "
\nAn individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the \nindividual may also be provided. Personal care providers must meet state defined training and certification standards\n
\n
\n", "
Personal Care Attendant
\n", "", "
Active
\n", "", "
V170600
\n", "
3747P1801X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253089
\n", "
\n
\n\n
\n"], ["674", "Nursing Service Related Providers", "", "
Nursing Home Administrator
\n", "", "
\nAn individual, often licensed by the state, who is responsible for the management of a nursing home.\n
\n
\n", "", "", "
Active
\n", "", "
V170500
\n", "
376G00000X
\n", "", "
A1
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253065
\n", "
\n
\n\n
\n"], ["675", "Behavioral Health & Social Service Providers", "", "
Clinical Neuropsychologist
\n", "", "
\nA clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing \nthe understanding of brain-behavior relationships and the application of such knowledge to human problems.\n
\n
\n", "", "", "
Active
\n", "", "
V010420
\n", "
103G00000X
\n", "", "
68
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252312
\n", "
\n
\n\n
\n"], ["676", "Dietary & Nutritional Service Providers", "", "
Dietary Manager
\n", "", "
\nA dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional \nneeds of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific \ncourse work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification.\n
\n
\n", "", "", "
Active
\n", "", "
V040102
\n", "
132700000X
\n", "", "
71
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252531
\n", "
\n
\n\n
\n"], ["677", "Eye and Vision Services Providers", "", "
Technician/Technologist
\n", "", "
\nA broad category grouping different kinds of technologists and technicians. See individual definitions.\n
\n
\n", "", "", "
Active
\n", "", "
V060201
\n", "
156F00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252618
\n", "
\n
\n\n
\n"], ["678", "Other Service Providers", "", "
Medical Genetics, Ph.D. Medical Genetics
\n", "", "
\nA medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.\n
\n
\n", "", "", "
Active
\n", "", "
V082100
\n", "
170100000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253146
\n", "
\n
\n\n
\n"], ["679", "Other Service Providers", "", "
Contractor
\n", "", "
\nFor the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but \nnot limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.\n
\n
\n", "", "", "
Active
\n", "", "
V080501
\n", "
171W00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253170
\n", "
\n
\n\n
\n"], ["68", "Physicians (M.D. and D.O.)", "", "
Opthal-ot-laryngo-rhinlogy
\n", "", "", "", "", "
Inactive
\n", "
1998-10-20 00:00:00
\n", "
V113100
\n", "", "
P74
\n", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253761
\n", "
\n
\n\n
\n"], ["680", "Other Service", "", "
Registered Nurse
\n", "", "", "", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V082200
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253140
\n", "
\n
\n\n
\n"], ["681", "Other Service Providers", "", "
Specialist
\n", "", "
\nAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.\n
\n
\n", "", "", "
Active
\n", "", "
V081900
\n", "
174400000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253203
\n", "
\n
\n\n
\n"], ["682", "Other Service Providers", "", "
Veterinarian
\n", "", "
\nA doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.\n
\n
\n", "", "", "
Active
\n", "", "
V082000
\n", "
174M00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253221
\n", "
\n
\n\n
\n"], ["683", "Other Service Providers", "", "
Midwife
\n", "", "
\nA Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. \nA Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., \nusually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.\n
\n
\n", "", "", "
Active
\n", "", "
V081001
\n", "
176B00000X
\n", "", "
42
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253248
\n", "
\n
\n\n
\n"], ["684", "Pharmacy Service", "", "
Technician
\n", "", "", "", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V090201
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253266
\n", "
\n
\n\n
\n"], ["685", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Anesthesiology: Pediatric Anesthesiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110403
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253545
\n", "
\n
\n\n
\n"], ["686", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Dermatology: Pediatric Dermatology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110703
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253566
\n", "
\n
\n\n
\n"], ["687", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Emergency Medicine: Undersea and Hyperbaric Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110804
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253581
\n", "
\n
\n\n
\n"], ["688", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Internal Medicine: Hepatology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111517
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253659
\n", "
\n
\n\n
\n"], ["689", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Internal Medicine: Pediatrics
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111519
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253665
\n", "
\n
\n\n
\n"], ["69", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Osteopathic Manipulative Medicine, Special Proficiency
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113200
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253764
\n", "
\n
\n\n
\n"], ["690", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Internal Medicine: Pulmonary Critical Care Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111521
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253671
\n", "
\n
\n\n
\n"], ["691", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Internal Medicine: Interventional Cardiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111518
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253662
\n", "
\n
\n\n
\n"], ["692", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Legal Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111610
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253677
\n", "
\n
\n\n
\n"], ["693", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Medical Genetics: Molecular Genetic Pathology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111906
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253704
\n", "
\n
\n\n
\n"], ["694", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neurological Surgery: Pediatric Neurological Surgery
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V112101
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253713
\n", "
\n
\n\n
\n"], ["695", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pain Management
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110404
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253548
\n", "
\n
\n\n
\n"], ["696", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Plastic Surgery: Craniofacial Surgery
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V117402
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254109
\n", "
\n
\n\n
\n"], ["697", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology: Selective Pathology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113715
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253830
\n", "
\n
\n\n
\n"], ["698", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Physical Medicine and Rehabilitation: Spinal Cord Injury
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114504
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253920
\n", "
\n
\n\n
\n"], ["699", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry & Neurology: Neurodevelopmental Disabilities
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114809
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253980
\n", "
\n
\n\n
\n"], ["7", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Critical Care Medicine: Anesthesiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110401
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253539
\n", "
\n
\n\n
\n"], ["70", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Otolaryngology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113300
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253767
\n", "
\n
\n\n
\n"], ["700", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatrics: Developmental - Behavioral Pediatrics
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114002
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253848
\n", "
\n
\n\n
\n"], ["701", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology: Molecular Genetic Pathology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113716
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253833
\n", "
\n
\n\n
\n"], ["702", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatrics: Neurodevelopmental Disabilities
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114001
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253845
\n", "
\n
\n\n
\n"], ["703", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Physical Medicine & Rehabilitation: Pain Management
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114501
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253911
\n", "
\n
\n\n
\n"], ["704", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Physical Medicine & Rehabilitation: Pediatric Rehabilitation Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114502
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253914
\n", "
\n
\n\n
\n"], ["705", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Preventive Medicine: Undersea and Hyperbaric Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114608
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253947
\n", "
\n
\n\n
\n"], ["706", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Plastic Surgery: Plastic Surgery Within the Head and Neck
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V117403
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254112
\n", "
\n
\n\n
\n"], ["707", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry & Neurology: Pain Management
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114810
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253983
\n", "
\n
\n\n
\n"], ["708", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Internal Medicine: Peripheral Vascular Disease
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V111520
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253668
\n", "
\n
\n\n
\n"], ["709", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiology: Abdominal Radiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115308
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254022
\n", "
\n
\n\n
\n"], ["71", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Otology & Neurotology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113301
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253770
\n", "
\n
\n\n
\n"], ["710", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Radiology: Musculoskeletal Radiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V115309
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254025
\n", "
\n
\n\n
\n"], ["711", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Sports Medicine - OMM
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118343
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254268
\n", "
\n
\n\n
\n"], ["712", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Preventive Medicine: Sports Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114607
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253944
\n", "
\n
\n\n
\n"], ["713", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Physical Medicine & Rehabilitation: Sports Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114503
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253917
\n", "
\n
\n\n
\n"], ["714", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery: Micrographic Surgery
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V116801
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254085
\n", "
\n
\n\n
\n"], ["715", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Urology, Pediatric Urology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118201
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254139
\n", "
\n
\n\n
\n"], ["716", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Orthopedic Surgery: Foot and Ankle Orthopedics
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118341
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254262
\n", "
\n
\n\n
\n"], ["717", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Orthopedic Surgery: Sports Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V118342
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254265
\n", "
\n
\n\n
\n"], ["718", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Opthalmology: Pediatric Opthalmology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113001
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253758
\n", "
\n
\n\n
\n"], ["719", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Specialist/Technologist
\n", "", "
\nGeneral classification identifying individuals who are trained on a specific piece of equipment or technical procedure.\n
\n
\n", "", "", "
Active
\n", "", "
V130215
\n", "
225500000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255153
\n", "
\n
\n\n
\n"], ["72", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Otolaryngology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113302
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253773
\n", "
\n
\n\n
\n"], ["720", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Certified
\n", "", "
\nA Certified Respiratory Therapist (CRT) is a an entry level therapist who has passed a standardized written examination administered by the National Board for Respiratory Care (NBRC). CRTs provide diagnostic testing, therapeutics, monitoring, rehabilitation, \nand education to patients with disorders of the cardiopulmonary system. They provide these respiratory care services in all health care facilities and in the home. A CRT is a graduate of an associate degree program approved by the Commission \non Accreditation of Allied Health Educational Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of the license.\n
\n
\n", "", "", "
Active
\n", "", "
V130512
\n", "
227800000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255240
\n", "
\n
\n\n
\n"], ["721", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Registered
\n", "", "
\nA Registered Respiratory Therapist (RRT) is an advanced therapist who has passed standardized written and clinical simulation examinations administered by the National Board for Respiratory Care (NBRC). In addition, to the certified therapist (CRT) \nentry level skills, RRTs have advanced education and training in patient assessment, in the development and modification of patient care plans, and in assuring the appropriate utilization of respiratory care resources. An RRT is a graduate of \nan associate or baccalaureate degree producing educational programs approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of that \nlicense.\n
\n
\n", "", "", "
Active
\n", "", "
V130513
\n", "
227900000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255285
\n", "
\n
\n\n
\n"], ["722", "Speech, Language and Hearing Service Providers", "", "
Specialist/Technologist
\n", "", "
\nGeneral classification identifying individuals who are trained on a specific piece of equipment or technical procedure.\n
\n
\n", "", "", "
Active
\n", "", "
V140601
\n", "
235500000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255444
\n", "
\n
\n\n
\n"], ["723", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Pathology
\n", "", "
\n(1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas \nof hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially \ntrained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, \nthey perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, \ninterpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, \nplus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience.\n
\n
\n", "", "", "
Active
\n", "", "
V150121
\n", "
246Q00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255612
\n", "
\n
\n\n
\n"], ["724", "Technologists, Technicians & Other Technical Service Providers", "", "
Technician, Pathology
\n", "", "
\nAn individual with knowledge of specific techniques and instruments who performs all of the routine tests in a medical laboratory and who has the ability to discriminate between similar factors that directly affect procedures and results.\n
\n
\n", "", "", "
Active
\n", "", "
V150122
\n", "
246R00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255648
\n", "
\n
\n\n
\n"], ["725", "Technologists, Technicians and Other Technical Service", "", "
Specialist/Technologist, Cardiology
\n", "", "", "", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V150704
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255900
\n", "
\n
\n\n
\n"], ["726", "Technologists, Technicians & Other Technical Service Providers", "", "
Technician, Cardiology
\n", "", "
\nAn individual who has knowledge of specific techniques, instruments, and equipment required in performing specific cardiovascular/peripheral vascular diagnostic procedures.\n
\n
\n", "", "", "
Active
\n", "", "
V150220
\n", "
246W00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255561
\n", "
\n
\n\n
\n"], ["727", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Health Information
\n", "", "
\nAn individual with a high school diploma, on-the-job experience and coding education from seminars or college classes who passes a national certification examination in either inpatient and outpatient facility services coding, or physician services \ncoding.\n
\n
\n", "", "", "
Active
\n", "", "
V150900
\n", "
246Y00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255576
\n", "
\n
\n\n
\n"], ["728", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist, Other
\n", "", "
\nGeneral classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.\n
\n
\n", "", "", "
Active
\n", "", "
V151000
\n", "
246Z00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255588
\n", "
\n
\n\n
\n"], ["729", "Technologists, Technicians & Other Technical Service Providers", "", "
Technician, Health Information
\n", "", "
\nPreferred term for an Accredited Record Technician who is an individual with an associate's degree from an accredited college or independent study program who is skilled in analyzing health information and in examination of medical records for accuracy, \nreporting of patient data for reimbursement, and creation of disease registries for researchers.\n
\n
\n", "", "", "
Active
\n", "", "
V151100
\n", "
247000000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255684
\n", "
\n
\n\n
\n"], ["73", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Otology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113400
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253776
\n", "
\n
\n\n
\n"], ["730", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiologic Technologist
\n", "", "
\nA medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.\n
\n
\n", "", "", "
Active
\n", "", "
V150324
\n", "
247100000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255693
\n", "
\n
\n\n
\n"], ["731", "Technologists, Technicians & Other Technical Service Providers", "", "
Technician, Other
\n", "", "
\nA collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by \nthe user.\n
\n
\n", "", "", "
Active
\n", "", "
V150221
\n", "
247200000X
\n", "", "
75
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255738
\n", "
\n
\n\n
\n"], ["732", "Physicians (Other Roles)", "", "
Physician/Osteopath (Other Roles)
\n", "", "", "", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V160100
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5254979
\n", "
\n
\n\n
\n"], ["733", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Advanced Practice Midwife
\n", "", "
\nAdvanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives \nalso provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. \nMidwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling.\n
\n
\n", "", "", "
Active
\n", "", "
V100401
\n", "
367A00000X
\n", "", "
42
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253512
\n", "
\n
\n\n
\n"], ["734", "Nursing Service Related Providers", "", "
Technician
\n", "", "
\n(1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such \nas operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees \nin science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear.\n
\n
\n", "", "", "
Active
\n", "", "
V170601
\n", "
374700000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253083
\n", "
\n
\n\n
\n"], ["735", "Behavioral Health & Social Service Providers", "", "
Psychologist
\n", "", "
\nA psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of \nunconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.\n
\n
\n", "
Psychoanalysis
\n", "", "
Active
\n", "", "
V010421
\n", "
103TP0814X
\n", "", "
62
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252369
\n", "
\n
\n\n
\n"], ["736", "Dental Providers", "", "
Dentist
\n", "", "
\nThe specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions \nof the oral and maxillofacial region.\n
\n
\n", "
Oral and Maxillofacial Radiology
\n", "", "
Active
\n", "", "
V030510
\n", "
1223X0008X
\n", "", "
C5
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252498
\n", "
\n
\n\n
\n"], ["737", "Emergency Medical Service Providers", "", "
Personal Emergency Response Attendant
\n", "", "
\nIndividuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working \nthrough processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance.\n
\n
\n", "", "", "
Active
\n", "", "
V050500
\n", "
146D00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252573
\n", "
\n
\n\n
\n"], ["738", "Eye and Vision Services Providers", "", "
Optometrist
\n", "", "
\nThe professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition \nwhich can affect contact lens wear.\n
\n
\n", "
Corneal and Contact Management
\n", "", "
Active
\n", "", "
V060807
\n", "
152WC0802X
\n", "", "
41
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252600
\n", "
\n
\n\n
\n"], ["739", "Nursing Service Providers", "", "
Licensed Psychiatric Technician
\n", "", "
\nAn individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric \ntechnician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.\n
\n
\n", "", "", "
Active
\n", "", "
V070807
\n", "
167G00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253047
\n", "
\n
\n\n
\n"], ["74", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Otorhinolaryngology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113500
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253779
\n", "
\n
\n\n
\n"], ["740", "Other Service Providers", "", "
Contractor
\n", "", "
\nA contractor who makes modifications to private vehicles to accommodate a health condition.\n
\n
\n", "
Vehicle Modifications
\n", "", "
Active
\n", "", "
V080502
\n", "
171WV0202X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253176
\n", "
\n
\n\n
\n"], ["741", "Other Service Providers", "", "
Lodging
\n", "", "
\nA public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.\n
\n
\n", "", "", "
Active
\n", "", "
V082300
\n", "
177F00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5253254
\n", "
\n
\n\n
\n"], ["742", "Pharmacy Service Providers", "", "
Pharmacy Technician
\n", "", "
\nA person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.\n
\n
\n", "", "", "
Active
\n", "", "
V090300
\n", "
183700000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253314
\n", "
\n
\n\n
\n"], ["743", "Allopathic & Osteopathic Physicians", "", "
Neuromusculoskeletal Medicine, Sports Medicine
\n", "", "
\nA Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice \nand heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.\n
\n
\n", "", "", "
Active
\n", "", "
V181600
\n", "
204C00000X
\n", "", "
12
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251451
\n", "
\n
\n\n
\n"], ["744", "Allopathic & Osteopathic Physicians", "", "
Neuromusculoskeletal Medicine & OMM
\n", "", "
\nThe Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative \nMedicine\n
\n
\n", "", "", "
Active
\n", "", "
V181500
\n", "
204D00000X
\n", "", "
12
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251454
\n", "
\n
\n\n
\n"], ["745", "Allopathic & Osteopathic Physicians", "", "
Oral & Maxillofacial Surgery
\n", "", "
\nOral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer \nanesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.\n
\n
\n", "", "", "
Active
\n", "", "
V182000
\n", "
204E00000X
\n", "", "
85
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251457
\n", "
\n
\n\n
\n"], ["746", "Allopathic & Osteopathic Physicians", "", "
Transplant Surgery
\n", "", "
\nA surgeon who specializes in transplant surgery.\n
\n
\n", "", "", "
Active
\n", "", "
V183300
\n", "
204F00000X
\n", "", "
02
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251460
\n", "
\n
\n\n
\n"], ["747", "Allopathic & Osteopathic Physicians", "", "
Allergy & Immunology
\n", "", "
\nAn allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions \nto drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.\n
\n
\n", "", "", "
Active
\n", "", "
V180100
\n", "
207K00000X
\n", "", "
03
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251466
\n", "
\n
\n\n
\n"], ["748", "Allopathic & Osteopathic Physicians", "", "
Allergy & Immunology
\n", "", "
\nA physician who specializes in the diagnosis, treatment, and management of allergies.\n
\n
\n", "
Allergy
\n", "", "
Active
\n", "", "
V180101
\n", "
207KA0200X
\n", "", "
03
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251469
\n", "
\n
\n\n
\n"], ["749", "Allopathic & Osteopathic Physicians", "", "
Allergy & Immunology
\n", "", "
\nAn allergy and immunology physician who specializes in clinical and laboratory immunology disease management.\n
\n
\n", "
Clinical & Laboratory Immunology
\n", "", "
Active
\n", "", "
V180102
\n", "
207KI0005X
\n", "", "
03
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251472
\n", "
\n
\n\n
\n"], ["75", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Surgery, Otorhinolaryngology & Facial Plastic Surgery
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113600
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253782
\n", "
\n
\n\n
\n"], ["750", "Allopathic & Osteopathic Physicians", "", "
Anesthesiology
\n", "", "
\nAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient \nundergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical \ncare medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, \nincluding the need for artificial ventilation; and supervise post-anesthesia recovery.\n
\n
\n", "", "", "
Active
\n", "", "
V180200
\n", "
207L00000X
\n", "", "
05
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251475
\n", "
\n
\n\n
\n"], ["751", "Allopathic & Osteopathic Physicians", "", "
Anesthesiology
\n", "", "
\nAn anesthesiologist who specializes in the diagnosis and treatment of addictions.\n
\n
\n", "
Addiction Medicine
\n", "", "
Active
\n", "", "
V180201
\n", "
207LA0401X
\n", "", "
05
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251478
\n", "
\n
\n\n
\n"], ["752", "Allopathic & Osteopathic Physicians", "", "
Anesthesiology
\n", "", "
\nAn anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and \ncoordinate patient care among the primary physician, the critical care staff and other specialists.\n
\n
\n", "
Critical Care Medicine
\n", "", "
Active
\n", "", "
V180202
\n", "
207LC0200X
\n", "", "
05
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251544
\n", "
\n
\n\n
\n"], ["753", "Allopathic & Osteopathic Physicians", "", "
Anesthesiology
\n", "", "
\nAn anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated \nwith other specialists.\n
\n
\n", "
Pain Medicine
\n", "", "
Active
\n", "", "
V180203
\n", "
207LP2900X
\n", "", "
05
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251550
\n", "
\n
\n\n
\n"], ["754", "Allopathic & Osteopathic Physicians", "", "
Dermatology
\n", "", "
\nA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has \nhad additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition \nof the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management \nof cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.\n
\n
\n", "", "", "
Active
\n", "", "
V180500
\n", "
207N00000X
\n", "", "
07
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251559
\n", "
\n
\n\n
\n"], ["755", "Allopathic & Osteopathic Physicians", "", "
Dermatology
\n", "", "
\nThe highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving \nhealthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers \nin the U.S.\n
\n
\n", "
MOHS-Micrographic Surgery
\n", "", "
Active
\n", "", "
V180504
\n", "
207ND0101X
\n", "", "
07
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251562
\n", "
\n
\n\n
\n"], ["756", "Allopathic & Osteopathic Physicians", "", "
Dermatology
\n", "", "
\nA dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular \nscrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.\n
\n
\n", "
Dermatopathology
\n", "", "
Active
\n", "", "
V180503
\n", "
207ND0900X
\n", "", "
07
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251565
\n", "
\n
\n\n
\n"], ["757", "Allopathic & Osteopathic Physicians", "", "
Dermatology
\n", "", "
\nA dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders \nand administer specialized forms of therapy for these diseases.\n
\n
\n", "
Clinical & Laboratory Dermatological Immunology
\n", "", "
Active
\n", "", "
V180501
\n", "
207NI0002X
\n", "", "
07
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251568
\n", "
\n
\n\n
\n"], ["758", "Allopathic & Osteopathic Physicians", "", "
Dermatology
\n", "", "
\nA pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.\n
\n
\n", "
Pediatric Dermatology
\n", "", "
Active
\n", "", "
V180505
\n", "
207NP0225X
\n", "", "
07
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251571
\n", "
\n
\n\n
\n"], ["759", "Allopathic & Osteopathic Physicians", "", "
Dermatology
\n", "", "
\nProcedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, \ncryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).\n
\n
\n", "
Procedural Dermatology
\n", "", "
Active
\n", "", "
V180502
\n", "
207NS0135X
\n", "", "
07
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251574
\n", "
\n
\n\n
\n"], ["76", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113700
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253785
\n", "
\n
\n\n
\n"], ["760", "Allopathic & Osteopathic Physicians", "", "
Emergency Medicine
\n", "", "
\nAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency \nphysician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.\n
\n
\n", "", "", "
Active
\n", "", "
V180600
\n", "
207P00000X
\n", "", "
93
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251577
\n", "
\n
\n\n
\n"], ["761", "Allopathic & Osteopathic Physicians", "", "
Emergency Medicine
\n", "", "
\nAn 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.\n
\n
\n", "
Emergency Medical Services
\n", "", "
Active
\n", "", "
V180601
\n", "
207PE0004X
\n", "", "
93
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251580
\n", "
\n
\n\n
\n"], ["762", "Allopathic & Osteopathic Physicians", "", "
Emergency Medicine
\n", "", "
\nA specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. \nThis specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working \nin altered atmospheric conditions.\n
\n
\n", "
Undersea and Hyperbaric Medicine
\n", "", "
Active
\n", "", "
V180605
\n", "
207PE0005X
\n", "", "
93
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251583
\n", "
\n
\n\n
\n"], ["763", "Allopathic & Osteopathic Physicians", "", "
Emergency Medicine
\n", "", "
\nPediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.\n
\n
\n", "
Pediatric Emergency Medicine
\n", "", "
Active
\n", "", "
V180603
\n", "
207PP0204X
\n", "", "
93
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251589
\n", "
\n
\n\n
\n"], ["764", "Allopathic & Osteopathic Physicians", "", "
Emergency Medicine
\n", "", "
\nAn emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. \nA sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation \nand epidemiology is essential to the practice of sports medicine.\n
\n
\n", "
Sports Medicine
\n", "", "
Active
\n", "", "
V180604
\n", "
207PS0010X
\n", "", "
93
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251592
\n", "
\n
\n\n
\n"], ["765", "Allopathic & Osteopathic Physicians", "", "
Emergency Medicine
\n", "", "
\nMedical toxicologists are physicians who specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for \npeople in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, \nchemicals and hazardous materials, terrorism preparedness, venomous bites and stings and environmental and workplace exposures.\n
\n
\n", "
Medical Toxicology
\n", "", "
Active
\n", "", "
V180602
\n", "
207PT0002X
\n", "", "
93
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251595
\n", "
\n
\n\n
\n"], ["766", "Allopathic & Osteopathic Physicians", "", "
Family Medicine
\n", "", "
\nFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine \nis not limited by age, sex, organ system, or disease entity.\n
\n
\n", "", "", "
Active
\n", "", "
V180700
\n", "
207Q00000X
\n", "", "
08
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251598
\n", "
\n
\n\n
\n"], ["767", "Allopathic & Osteopathic Physicians", "", "
Family Medicine
\n", "", "
\nA family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.\n
\n
\n", "
Adolescent Medicine
\n", "", "
Active
\n", "", "
V180702
\n", "
207QA0000X
\n", "", "
08
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251601
\n", "
\n
\n\n
\n"], ["768", "Allopathic & Osteopathic Physicians", "", "
Family Medicine
\n", "", "
\nA family medicine physician who specializes in the diagnosis and treatment of addictions.\n
\n
\n", "
Addiction Medicine
\n", "", "
Active
\n", "", "
V180701
\n", "
207QA0401X
\n", "", "
08
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251604
\n", "
\n
\n\n
\n"], ["769", "Allopathic & Osteopathic Physicians", "", "
Family Medicine
\n", "", "
\nThe NUCC recommends this code not be used. Choose a more appropriate code.\n
\n
\n", "
Adult Medicine
\n", "", "
Active
\n", "", "
V180703
\n", "
207QA0505X
\n", "", "
08
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251607
\n", "
\n
\n\n
\n"], ["77", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology, Anatomic & Clinical
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113701
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253788
\n", "
\n
\n\n
\n"], ["770", "Allopathic & Osteopathic Physicians", "", "
Family Medicine
\n", "", "
\nA family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's \nhome, the office, long-term care settings such as nursing homes, and the hospital.\n
\n
\n", "
Geriatric Medicine
\n", "", "
Active
\n", "", "
V180704
\n", "
207QG0300X
\n", "", "
08
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251613
\n", "
\n
\n\n
\n"], ["771", "Allopathic & Osteopathic Physicians", "", "
Family Medicine
\n", "", "
\nA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician \nmust have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical \nevaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide \nthe knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.\n
\n
\n", "
Sports Medicine
\n", "", "
Active
\n", "", "
V180705
\n", "
207QS0010X
\n", "", "
08
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251619
\n", "
\n
\n\n
\n"], ["772", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and \ndiseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, \nsubstance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.\n
\n
\n", "", "", "
Active
\n", "", "
V181000
\n", "
207R00000X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251628
\n", "
\n
\n\n
\n"], ["773", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.\n
\n
\n", "
Adolescent Medicine
\n", "", "
Active
\n", "", "
V181002
\n", "
207RA0000X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251631
\n", "
\n
\n\n
\n"], ["774", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special \nQualifications in the field of Allergy & Immunology.\n
\n
\n", "
Allergy & Immunology
\n", "", "
Active
\n", "", "
V181003
\n", "
207RA0201X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251637
\n", "
\n
\n\n
\n"], ["775", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications \nin the field of Addiction Medicine.\n
\n
\n", "
Addiction Medicine
\n", "", "
Active
\n", "", "
V181001
\n", "
207RA0401X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251640
\n", "
\n
\n\n
\n"], ["776", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.\n
\n
\n", "
Cardiovascular Disease
\n", "", "
Active
\n", "", "
V181004
\n", "
207RC0000X
\n", "", "
06
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251646
\n", "
\n
\n\n
\n"], ["777", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nA field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.\n
\n
\n", "
Clinical Cardiac Electrophysiology
\n", "", "
Active
\n", "", "
V181006
\n", "
207RC0001X
\n", "", "
21
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251649
\n", "
\n
\n\n
\n"], ["778", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, \nthe critical care staff and other specialists.\n
\n
\n", "
Critical Care Medicine
\n", "", "
Active
\n", "", "
V181007
\n", "
207RC0200X
\n", "", "
81
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251652
\n", "
\n
\n\n
\n"], ["779", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and \nmenstrual and sexual problems.\n
\n
\n", "
Endocrinology, Diabetes & Metabolism
\n", "", "
Active
\n", "", "
V181008
\n", "
207RE0101X
\n", "", "
46
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251655
\n", "
\n
\n\n
\n"], ["78", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology, Anatomic
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113702
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253791
\n", "
\n
\n\n
\n"], ["780", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and \nperforms complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.\n
\n
\n", "
Gastroenterology
\n", "", "
Active
\n", "", "
V181009
\n", "
207RG0100X
\n", "", "
10
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251664
\n", "
\n
\n\n
\n"], ["781", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the \noffice, long-term care settings such as nursing homes and the hospital.\n
\n
\n", "
Geriatric Medicine
\n", "", "
Active
\n", "", "
V181010
\n", "
207RG0300X
\n", "", "
38
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251667
\n", "
\n
\n\n
\n"], ["782", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.\n
\n
\n", "
Hematology
\n", "", "
Active
\n", "", "
V181011
\n", "
207RH0000X
\n", "", "
82
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251670
\n", "
\n
\n\n
\n"], ["783", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to \nobtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.\n
\n
\n", "
Hematology & Oncology
\n", "", "
Active
\n", "", "
V181012
\n", "
207RH0003X
\n", "", "
83
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251676
\n", "
\n
\n\n
\n"], ["784", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internal medicine physician who specializes in clinical and laboratory immunology disease management.\n
\n
\n", "
Clinical & Laboratory Immunology
\n", "", "
Active
\n", "", "
V181005
\n", "
207RI0001X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251685
\n", "
\n
\n\n
\n"], ["785", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nThe discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves \nas Hepatologists usually, but not always, have been trained in gastrointestinal programs.\n
\n
\n", "
Hepatology
\n", "", "
Active
\n", "", "
V181013
\n", "
207RI0008X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251688
\n", "
\n
\n\n
\n"], ["786", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications \nto treat abnormalities that impair the function of the cardiovascular system.\n
\n
\n", "
Interventional Cardiology
\n", "", "
Active
\n", "", "
V181015
\n", "
207RI0011X
\n", "", "
C3
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251691
\n", "
\n
\n\n
\n"], ["787", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers \nwhich have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.\n
\n
\n", "
Infectious Disease
\n", "", "
Active
\n", "", "
V181014
\n", "
207RI0200X
\n", "", "
44
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251694
\n", "
\n
\n\n
\n"], ["788", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nThe NUCC recommends this code not be used. Choose a more appropriate code.\n
\n
\n", "
Magnetic Resonance Imaging (MRI)
\n", "", "
Active
\n", "", "
V181016
\n", "
207RM1200X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251697
\n", "
\n
\n\n
\n"], ["789", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.\n
\n
\n", "
Nephrology
\n", "", "
Active
\n", "", "
V181018
\n", "
207RN0300X
\n", "", "
39
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251700
\n", "
\n
\n\n
\n"], ["79", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology, Anatomic & Laboratory Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113703
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253794
\n", "
\n
\n\n
\n"], ["790", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of \nthe lungs.\n
\n
\n", "
Pulmonary Disease
\n", "", "
Active
\n", "", "
V181019
\n", "
207RP1001X
\n", "", "
29
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251703
\n", "
\n
\n\n
\n"], ["791", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.\n
\n
\n", "
Rheumatology
\n", "", "
Active
\n", "", "
V181020
\n", "
207RR0500X
\n", "", "
66
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251706
\n", "
\n
\n\n
\n"], ["792", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and \nexperience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries \n(treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to \nimprove the healthcare of the individual.\n
\n
\n", "
Sports Medicine
\n", "", "
Active
\n", "", "
V181021
\n", "
207RS0010X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251709
\n", "
\n
\n\n
\n"], ["793", "Allopathic & Osteopathic Physicians", "", "
Internal Medicine
\n", "", "
\nAn internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists \non other treatments for cancer.\n
\n
\n", "
Medical Oncology
\n", "", "
Active
\n", "", "
V181017
\n", "
207RX0202X
\n", "", "
90
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251718
\n", "
\n
\n\n
\n"], ["794", "Allopathic & Osteopathic Physicians", "", "
Medical Genetics
\n", "", "
\nA clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity.\n
\n
\n", "
Clinical Cytogenetics
\n", "", "
Active
\n", "", "
V181301
\n", "
207SC0300X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251721
\n", "
\n
\n\n
\n"], ["795", "Allopathic & Osteopathic Physicians", "", "
Medical Genetics
\n", "", "
\nA clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.\n
\n
\n", "
Clinical Genetics (M.D.)
\n", "", "
Active
\n", "", "
V181302
\n", "
207SG0201X
\n", "", "
D3
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251724
\n", "
\n
\n\n
\n"], ["796", "Allopathic & Osteopathic Physicians", "", "
Medical Genetics
\n", "", "
\nA clinical biochemical geneticist demonstrates competence in performing and interpreting biochemical analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of \ninherited disorders.\n
\n
\n", "
Clinical Biochemical Genetics
\n", "", "
Active
\n", "", "
V181200
\n", "
207SG0202X
\n", "", "
D3
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251727
\n", "
\n
\n\n
\n"], ["797", "Allopathic & Osteopathic Physicians", "", "
Medical Genetics
\n", "", "
\nA clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited \ndisorders.\n
\n
\n", "
Clinical Molecular Genetics
\n", "", "
Active
\n", "", "
V181303
\n", "
207SG0203X
\n", "", "
D3
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251730
\n", "
\n
\n\n
\n"], ["798", "Allopathic & Osteopathic Physicians", "", "
Medical Genetics
\n", "", "
\nA medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program and serves as a consultant to medical and dental specialists.\n
\n
\n", "
Ph.D. Medical Genetics
\n", "", "
Active
\n", "", "
V181305
\n", "
207SG0205X
\n", "", "
D3
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251733
\n", "
\n
\n\n
\n"], ["799", "Allopathic & Osteopathic Physicians", "", "
Medical Genetics
\n", "", "
\nA board certified subspecialty, the molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, \nof human development, infectious diseases and malignancies and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration, and applies laboratory techniques \nfor diagnosis, treatment and prognosis for individuals with related disorders.\n
\n
\n", "
Molecular Genetic Pathology
\n", "", "
Active
\n", "", "
V181304
\n", "
207SM0001X
\n", "", "
D3
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251736
\n", "
\n
\n\n
\n"], ["8", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pain Management - Anesthesiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110402
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253542
\n", "
\n
\n\n
\n"], ["80", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Blood Banking & Transfusion Medicine
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113704
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253797
\n", "
\n
\n\n
\n"], ["800", "Allopathic & Osteopathic Physicians", "", "
Neurological Surgery
\n", "", "
\nA neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their \nsupporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats \npatients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, \nand vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.\n
\n
\n", "", "", "
Active
\n", "", "
V181400
\n", "
207T00000X
\n", "", "
14
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251739
\n", "
\n
\n\n
\n"], ["801", "Allopathic & Osteopathic Physicians", "", "
Nuclear Medicine
\n", "", "
\nA nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function \nand metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection \nof coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all \npossible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone\n
\n
\n", "", "", "
Active
\n", "", "
V181700
\n", "
207U00000X
\n", "", "
36
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251742
\n", "
\n
\n\n
\n"], ["802", "Allopathic & Osteopathic Physicians", "", "
Nuclear Medicine
\n", "", "
\nA nuclear medicine physician who specializes in nuclear cardiology.\n
\n
\n", "
Nuclear Cardiology
\n", "", "
Active
\n", "", "
V181702
\n", "
207UN0901X
\n", "", "
36
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251745
\n", "
\n
\n\n
\n"], ["803", "Allopathic & Osteopathic Physicians", "", "
Nuclear Medicine
\n", "", "
\nA nuclear medicine physician who specializes in nuclear imaging and therapy.\n
\n
\n", "
Nuclear Imaging & Therapy
\n", "", "
Active
\n", "", "
V181703
\n", "
207UN0902X
\n", "", "
36
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251748
\n", "
\n
\n\n
\n"], ["804", "Allopathic & Osteopathic Physicians", "", "
Nuclear Medicine
\n", "", "
\nA nuclear medicine physician who specializes in in vivo and in vitro nuclear medicine.\n
\n
\n", "
In Vivo & In Vitro Nuclear Medicine
\n", "", "
Active
\n", "", "
V181701
\n", "
207UN0903X
\n", "", "
36
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251751
\n", "
\n
\n\n
\n"], ["805", "Allopathic & Osteopathic Physicians", "", "
Obstetrics & Gynecology
\n", "", "
\nAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and \nas a primary physician for women.\n
\n
\n", "", "", "
Active
\n", "", "
V181800
\n", "
207V00000X
\n", "", "
16
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251754
\n", "
\n
\n\n
\n"], ["806", "Allopathic & Osteopathic Physicians", "", "
Obstetrics & Gynecology
\n", "", "
\nAn obstetrician/gynecologist, who specializes in critical care medicine diagnoses, treats and supports female patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also \nfacilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.\n
\n
\n", "
Critical Care Medicine
\n", "", "
Active
\n", "", "
V181801
\n", "
207VC0200X
\n", "", "
16
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251760
\n", "
\n
\n\n
\n"], ["807", "Allopathic & Osteopathic Physicians", "", "
Obstetrics & Gynecology
\n", "", "
\nAn obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.\n
\n
\n", "
Reproductive Endocrinology
\n", "", "
Active
\n", "", "
V181806
\n", "
207VE0102X
\n", "", "
16
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251763
\n", "
\n
\n\n
\n"], ["808", "Allopathic & Osteopathic Physicians", "", "
Obstetrics & Gynecology
\n", "", "
\nA physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.\n
\n
\n", "
Gynecology
\n", "", "
Active
\n", "", "
V181803
\n", "
207VG0400X
\n", "", "
16
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251769
\n", "
\n
\n\n
\n"], ["809", "Allopathic & Osteopathic Physicians", "", "
Obstetrics & Gynecology
\n", "", "
\nAn obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both \nthe mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.\n
\n
\n", "
Maternal & Fetal Medicine
\n", "", "
Active
\n", "", "
V181804
\n", "
207VM0101X
\n", "", "
16
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251775
\n", "
\n
\n\n
\n"], ["81", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology, Chemical
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113705
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253800
\n", "
\n
\n\n
\n"], ["810", "Allopathic & Osteopathic Physicians", "", "
Obstetrics & Gynecology
\n", "", "
\nA physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.\n
\n
\n", "
Obstetrics
\n", "", "
Active
\n", "", "
V181805
\n", "
207VX0000X
\n", "", "
16
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251778
\n", "
\n
\n\n
\n"], ["811", "Allopathic & Osteopathic Physicians", "", "
Obstetrics & Gynecology
\n", "", "
\nAn obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and \nresulting complications.\n
\n
\n", "
Gynecologic Oncology
\n", "", "
Active
\n", "", "
V181802
\n", "
207VX0201X
\n", "", "
16
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251781
\n", "
\n
\n\n
\n"], ["812", "Allopathic & Osteopathic Physicians", "", "
Ophthalmology
\n", "", "
\nAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This \nincludes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.\n
\n
\n", "", "", "
Active
\n", "", "
V181900
\n", "
207W00000X
\n", "", "
18
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251784
\n", "
\n
\n\n
\n"], ["813", "Allopathic & Osteopathic Physicians", "", "
Orthopaedic Surgery
\n", "", "
\nAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the \ncare of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, \nshoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.\n
\n
\n", "", "", "
Active
\n", "", "
V182100
\n", "
207X00000X
\n", "", "
20
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251799
\n", "
\n
\n\n
\n"], ["814", "Allopathic & Osteopathic Physicians", "", "
Orthopaedic Surgery
\n", "", "
\nAn orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.\n
\n
\n", "
Hand Surgery
\n", "", "
Active
\n", "", "
V182103
\n", "
207XS0106X
\n", "", "
40
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251805
\n", "
\n
\n\n
\n"], ["815", "Allopathic & Osteopathic Physicians", "", "
Orthopaedic Surgery
\n", "", "
\nRecognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, \nsoft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.\n
\n
\n", "
Adult Reconstructive Orthopaedic Surgery
\n", "", "
Active
\n", "", "
V182101
\n", "
207XS0114X
\n", "", "
20
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251808
\n", "
\n
\n\n
\n"], ["816", "Allopathic & Osteopathic Physicians", "", "
Orthopaedic Surgery
\n", "", "
\nRecognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders \nincluding trauma, degenerative, deformity, tumor, and reconstructive.\n
\n
\n", "
Orthopaedic Surgery of the Spine
\n", "", "
Active
\n", "", "
V182104
\n", "
207XS0117X
\n", "", "
20
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251811
\n", "
\n
\n\n
\n"], ["817", "Allopathic & Osteopathic Physicians", "", "
Orthopaedic Surgery
\n", "", "
\nRecognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and \nchildren's foot and ankle reconstructive surgery.\n
\n
\n", "
Foot and Ankle Surgery
\n", "", "
Active
\n", "", "
V182102
\n", "
207XX0004X
\n", "", "
20
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251814
\n", "
\n
\n\n
\n"], ["818", "Allopathic & Osteopathic Physicians", "", "
Orthopaedic Surgery
\n", "", "
\nAn orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training \nand fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and \nmanagement, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic \ninjuries.\n
\n
\n", "
Sports Medicine
\n", "", "
Active
\n", "", "
V182106
\n", "
207XX0005X
\n", "", "
20
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251817
\n", "
\n
\n\n
\n"], ["819", "Allopathic & Osteopathic Physicians", "", "
Orthopaedic Surgery
\n", "", "
\nRecognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic \ndeformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.\n
\n
\n", "
Orthopaedic Trauma
\n", "", "
Active
\n", "", "
V182105
\n", "
207XX0801X
\n", "", "
20
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251820
\n", "
\n
\n\n
\n"], ["82", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pathology, Clinical
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113706
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253803
\n", "
\n
\n\n
\n"], ["820", "Allopathic & Osteopathic Physicians", "", "
Otolaryngology
\n", "", "
\nAn otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head \nand neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, \nface, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.\n
\n
\n", "", "", "
Active
\n", "", "
V182200
\n", "
207Y00000X
\n", "", "
04
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251823
\n", "
\n
\n\n
\n"], ["821", "Allopathic & Osteopathic Physicians", "", "
Otolaryngology
\n", "", "
\nA pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of \nthe head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.\n
\n
\n", "
Pediatric Otolaryngology
\n", "", "
Active
\n", "", "
V182205
\n", "
207YP0228X
\n", "", "
04
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251481
\n", "
\n
\n\n
\n"], ["822", "Allopathic & Osteopathic Physicians", "", "
Otolaryngology
\n", "", "
\nAn otolaryngologist who specializes in facial plastic surgery.\n
\n
\n", "
Facial Plastic Surgery
\n", "", "
Active
\n", "", "
V182201
\n", "
207YS0123X
\n", "", "
04
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251487
\n", "
\n
\n\n
\n"], ["823", "Allopathic & Osteopathic Physicians", "", "
Otolaryngology
\n", "", "
\nAn otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue \nrepair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with \nthem.\n
\n
\n", "
Plastic Surgery within the Head & Neck
\n", "", "
Active
\n", "", "
V182206
\n", "
207YX0007X
\n", "", "
04
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251490
\n", "
\n
\n\n
\n"], ["824", "Allopathic & Osteopathic Physicians", "", "
Otolaryngology
\n", "", "
\nAn otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.\n
\n
\n", "
Otolaryngic Allergy
\n", "", "
Active
\n", "", "
V182202
\n", "
207YX0602X
\n", "", "
04
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251493
\n", "
\n
\n\n
\n"], ["825", "Allopathic & Osteopathic Physicians", "", "
Otolaryngology
\n", "", "
\nAn otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, \npathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.\n
\n
\n", "
Otology & Neurotology
\n", "", "
Active
\n", "", "
V182204
\n", "
207YX0901X
\n", "", "
04
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251496
\n", "
\n
\n\n
\n"], ["826", "Allopathic & Osteopathic Physicians", "", "
Otolaryngology
\n", "", "
\nAn otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.\n
\n
\n", "
Otolaryngology/Facial Plastic Surgery
\n", "", "
Active
\n", "", "
V182203
\n", "
207YX0905X
\n", "", "
04
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251499
\n", "
\n
\n\n
\n"], ["827", "Allopathic & Osteopathic Physicians", "", "
Pathology
\n", "", "
\nA physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and \nantibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma \nconstituents, and marrow or stem cells for transplantation.\n
\n
\n", "
Blood Banking & Transfusion Medicine
\n", "", "
Active
\n", "", "
V182403
\n", "
207ZB0001X
\n", "", "
22
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251502
\n", "
\n
\n\n
\n"], ["828", "Allopathic & Osteopathic Physicians", "", "
Pathology
\n", "", "
\nA cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor \nmass or body organ with a fine needle. A major aspect of a cytopathologist's practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the "Pap" test. However, the cytopathologist's expertise \nis applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists.\n
\n
\n", "
Cytopathology
\n", "", "
Active
\n", "", "
V182406
\n", "
207ZC0500X
\n", "", "
22
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251511
\n", "
\n
\n\n
\n"], ["829", "Allopathic & Osteopathic Physicians", "", "
Pathology
\n", "", "
\nA dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular \nscrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.\n
\n
\n", "
Dermatopathology
\n", "", "
Active
\n", "", "
V182407
\n", "
207ZD0900X
\n", "", "
22
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251514
\n", "
\n
\n\n
\n"], ["83", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Cytopathology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113707
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253806
\n", "
\n
\n\n
\n"], ["830", "Allopathic & Osteopathic Physicians", "", "
Pathology
\n", "", "
\nA forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical \nexaminer, or by performing medicolegal autopsies for such officials.\n
\n
\n", "
Forensic Pathology
\n", "", "
Active
\n", "", "
V182408
\n", "
207ZF0201X
\n", "", "
22
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251517
\n", "
\n
\n\n
\n"], ["831", "Allopathic & Osteopathic Physicians", "", "
Pathology
\n", "", "
\nA hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, \nbleeding disorders and blood clotting disorders.\n
\n
\n", "
Hematology
\n", "", "
Active
\n", "", "
V182409
\n", "
207ZH0000X
\n", "", "
22
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251520
\n", "
\n
\n\n
\n"], ["832", "Allopathic & Osteopathic Physicians", "", "
Pathology
\n", "", "
\nA pathologist who specializes in the diagnosis of immunologic diseases.\n
\n
\n", "
Immunopathology
\n", "", "
Active
\n", "", "
V182410
\n", "
207ZI0100X
\n", "", "
22
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251523
\n", "
\n
\n\n
\n"], ["833", "Allopathic & Osteopathic Physicians", "", "
Pathology
\n", "", "
\nA medical microbiologist is expert in the isolation and identification of microbial agents that cause infectious disease. Viruses, bacteria and fungi, as well as parasites, are identified and, where possible, tested for susceptibility to appropriate \nantimicrobial agents.\n
\n
\n", "
Medical Microbiology
\n", "", "
Active
\n", "", "
V182411
\n", "
207ZM0300X
\n", "", "
22
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251526
\n", "
\n
\n\n
\n"], ["834", "Allopathic & Osteopathic Physicians", "", "
Pathology
\n", "", "
\nA neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as \nthey affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature.\n
\n
\n", "
Neuropathology
\n", "", "
Active
\n", "", "
V182413
\n", "
207ZN0500X
\n", "", "
22
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251529
\n", "
\n
\n\n
\n"], ["835", "Allopathic & Osteopathic Physicians", "", "
Pathology
\n", "", "
\nA molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, \ninfectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment \nand prognosis for individuals with related disorders.\n
\n
\n", "
Molecular Genetic Pathology
\n", "", "
Active
\n", "", "
V182412
\n", "
207ZP0007X
\n", "", "
22
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251532
\n", "
\n
\n\n
\n"], ["836", "Allopathic & Osteopathic Physicians", "", "
Pathology
\n", "", "
\nA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information \ngathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.\n
\n
\n", "
Anatomic Pathology
\n", "", "
Active
\n", "", "
V182401
\n", "
207ZP0101X
\n", "", "
22
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251535
\n", "
\n
\n\n
\n"], ["837", "Allopathic & Osteopathic Physicians", "", "
Pathology
\n", "", "
\nA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information \ngathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.\n
\n
\n", "
Anatomic Pathology & Clinical Pathology
\n", "", "
Active
\n", "", "
V182402
\n", "
207ZP0102X
\n", "", "
22
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251826
\n", "
\n
\n\n
\n"], ["838", "Allopathic & Osteopathic Physicians", "", "
Pathology
\n", "", "
\nA chemical pathologist has expertise in the biochemistry of the human body as it applies to the understanding of the cause and progress of disease. This physician functions as a clinical consultant in the diagnosis and treatment of human disease. \nChemical pathology entails the application of biochemical data to the detection, confirmation or monitoring of disease.\n
\n
\n", "
Chemical Pathology
\n", "", "
Active
\n", "", "
V182404
\n", "
207ZP0104X
\n", "", "
22
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251829
\n", "
\n
\n\n
\n"], ["839", "Allopathic & Osteopathic Physicians", "", "
Pathology
\n", "", "
\nA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information \ngathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.\n
\n
\n", "
Clinical Pathology/Laboratory Medicine
\n", "", "
Active
\n", "", "
V182405
\n", "
207ZP0105X
\n", "", "
22
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251832
\n", "
\n
\n\n
\n"], ["84", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Dermatopathology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113708
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253809
\n", "
\n
\n\n
\n"], ["840", "Allopathic & Osteopathic Physicians", "", "
Pathology
\n", "", "
\nA pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth \nand development, along with extensive knowledge of pediatric medicine.\n
\n
\n", "
Pediatric Pathology
\n", "", "
Active
\n", "", "
V182414
\n", "
207ZP0213X
\n", "", "
22
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251835
\n", "
\n
\n\n
\n"], ["841", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute \nand chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.\n
\n
\n", "", "", "
Active
\n", "", "
V182500
\n", "
208000000X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251838
\n", "
\n
\n\n
\n"], ["842", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.\n
\n
\n", "
Adolescent Medicine
\n", "", "
Active
\n", "", "
V182501
\n", "
2080A0000X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251841
\n", "
\n
\n\n
\n"], ["843", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician who specializes in clinical and laboratory immunology disease management.\n
\n
\n", "
Clinical & Laboratory Immunology
\n", "", "
Active
\n", "", "
V182502
\n", "
2080I0007X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251853
\n", "
\n
\n\n
\n"], ["844", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.\n
\n
\n", "
Neonatal-Perinatal Medicine
\n", "", "
Active
\n", "", "
V182505
\n", "
2080N0001X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251856
\n", "
\n
\n\n
\n"], ["845", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. \nThis physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.\n
\n
\n", "
Developmental - Behavioral Pediatrics
\n", "", "
Active
\n", "", "
V182503
\n", "
2080P0006X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251859
\n", "
\n
\n\n
\n"], ["846", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. \nThis specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental \ndisabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.\n
\n
\n", "
Neurodevelopmental Disabilities
\n", "", "
Active
\n", "", "
V182506
\n", "
2080P0008X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251862
\n", "
\n
\n\n
\n"], ["847", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.\n
\n
\n", "
Pediatric Allergy/Immunology
\n", "", "
Active
\n", "", "
V182507
\n", "
2080P0201X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251865
\n", "
\n
\n\n
\n"], ["848", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical \nevaluation of cardiovascular disease.\n
\n
\n", "
Pediatric Cardiology
\n", "", "
Active
\n", "", "
V182508
\n", "
2080P0202X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251868
\n", "
\n
\n\n
\n"], ["849", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and \nsurgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.\n
\n
\n", "
Pediatric Critical Care Medicine
\n", "", "
Active
\n", "", "
V182509
\n", "
2080P0203X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251871
\n", "
\n
\n\n
\n"], ["85", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Forensic Pathology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113709
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253812
\n", "
\n
\n\n
\n"], ["850", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician who has special qualifications to manage emergencies in infants and children.\n
\n
\n", "
Pediatric Emergency Medicine
\n", "", "
Active
\n", "", "
V182510
\n", "
2080P0204X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251874
\n", "
\n
\n\n
\n"], ["851", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual \nsize for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.\n
\n
\n", "
Pediatric Endocrinology
\n", "", "
Active
\n", "", "
V182511
\n", "
2080P0205X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251877
\n", "
\n
\n\n
\n"], ["852", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs \ncomplex diagnostic and therapeutic procedures using lighted scopes to see internal organs.\n
\n
\n", "
Pediatric Gastroenterology
\n", "", "
Active
\n", "", "
V182512
\n", "
2080P0206X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251880
\n", "
\n
\n\n
\n"], ["853", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.\n
\n
\n", "
Pediatric Hematology-Oncology
\n", "", "
Active
\n", "", "
V182513
\n", "
2080P0207X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251883
\n", "
\n
\n\n
\n"], ["854", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases \nthat predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.\n
\n
\n", "
Pediatric Infectious Diseases
\n", "", "
Active
\n", "", "
V182514
\n", "
2080P0208X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251886
\n", "
\n
\n\n
\n"], ["855", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, \nhypertension and renal replacement therapy.\n
\n
\n", "
Pediatric Nephrology
\n", "", "
Active
\n", "", "
V182515
\n", "
2080P0210X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251889
\n", "
\n
\n\n
\n"], ["856", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in \ninfants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.\n
\n
\n", "
Pediatric Pulmonology
\n", "", "
Active
\n", "", "
V182516
\n", "
2080P0214X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251892
\n", "
\n
\n\n
\n"], ["857", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.\n
\n
\n", "
Pediatric Rheumatology
\n", "", "
Active
\n", "", "
V182517
\n", "
2080P0216X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251895
\n", "
\n
\n\n
\n"], ["858", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nA pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience \nin the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment \nand prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve \nthe healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.\n
\n
\n", "
Sports Medicine
\n", "", "
Active
\n", "", "
V182522
\n", "
2080S0010X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251901
\n", "
\n
\n\n
\n"], ["859", "Allopathic & Osteopathic Physicians", "", "
Pediatrics
\n", "", "
\nMedical toxicologists are physicians that specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for \npeople in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, \nchemicals and hazardous materials, terrorism preparedness, venomous bites and stings, and environmental and workplace exposures.\n
\n
\n", "
Medical Toxicology
\n", "", "
Active
\n", "", "
V182504
\n", "
2080T0002X
\n", "", "
37
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251907
\n", "
\n
\n\n
\n"], ["86", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Hematology: Pathology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113710
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253815
\n", "
\n
\n\n
\n"], ["860", "Allopathic & Osteopathic Physicians", "", "
Physical Medicine & Rehabilitation
\n", "", "
\nPhysical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting \nthe musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as \nspinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and \nvocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard \nhistory, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.\n
\n
\n", "", "", "
Active
\n", "", "
V182600
\n", "
208100000X
\n", "", "
25
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251913
\n", "
\n
\n\n
\n"], ["861", "Allopathic & Osteopathic Physicians", "", "
Physical Medicine & Rehabilitation
\n", "", "
\nA physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages \non a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.\n
\n
\n", "
Spinal Cord Injury Medicine
\n", "", "
Active
\n", "", "
V182603
\n", "
2081P0004X
\n", "", "
25
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251922
\n", "
\n
\n\n
\n"], ["862", "Allopathic & Osteopathic Physicians", "", "
Physical Medicine & Rehabilitation
\n", "", "
\nA physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial \nand vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, \nwith an understanding of the continuum of care.\n
\n
\n", "
Pediatric Rehabilitation Medicine
\n", "", "
Active
\n", "", "
V182602
\n", "
2081P0010X
\n", "", "
25
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251925
\n", "
\n
\n\n
\n"], ["863", "Allopathic & Osteopathic Physicians", "", "
Physical Medicine & Rehabilitation
\n", "", "
\nA 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 \nwith other specialists.\n
\n
\n", "
Pain Medicine
\n", "", "
Active
\n", "", "
V182601
\n", "
2081P2900X
\n", "", "
25
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251931
\n", "
\n
\n\n
\n"], ["864", "Allopathic & Osteopathic Physicians", "", "
Physical Medicine & Rehabilitation
\n", "", "
\nA physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion \nof wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine \nspecialist to improve the healthcare of the individual engaged in physical exercise.\n
\n
\n", "
Sports Medicine
\n", "", "
Active
\n", "", "
V182604
\n", "
2081S0010X
\n", "", "
25
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251934
\n", "
\n
\n\n
\n"], ["865", "Allopathic & Osteopathic Physicians", "", "
Plastic Surgery
\n", "", "
\nA plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia \nor cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive \nprocedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.\n
\n
\n", "", "", "
Active
\n", "", "
V182700
\n", "
208200000X
\n", "", "
24
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251937
\n", "
\n
\n\n
\n"], ["866", "Allopathic & Osteopathic Physicians", "", "
Plastic Surgery
\n", "", "
\nA plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue \nrepair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.\n
\n
\n", "
Plastic Surgery Within the Head and Neck
\n", "", "
Active
\n", "", "
V182701
\n", "
2082S0099X
\n", "", "
24
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251940
\n", "
\n
\n\n
\n"], ["867", "Allopathic & Osteopathic Physicians", "", "
Plastic Surgery
\n", "", "
\nA plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.\n
\n
\n", "
Surgery of the Hand
\n", "", "
Active
\n", "", "
V182702
\n", "
2082S0105X
\n", "", "
40
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251943
\n", "
\n
\n\n
\n"], ["868", "Allopathic & Osteopathic Physicians", "", "
Preventive Medicine
\n", "", "
\nAerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. \nThis population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with \nenvironmental hazards and engineering countermeasures.\n
\n
\n", "
Aerospace Medicine
\n", "", "
Active
\n", "", "
V182801
\n", "
2083A0100X
\n", "", "
84
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251946
\n", "
\n
\n\n
\n"], ["869", "Allopathic & Osteopathic Physicians", "", "
Preventive Medicine
\n", "", "
\nA specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. \nThis specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in \naltered atmospheric conditions.\n
\n
\n", "
Undersea and Hyperbaric Medicine
\n", "", "
Active
\n", "", "
V182807
\n", "
2083P0011X
\n", "", "
84
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251955
\n", "
\n
\n\n
\n"], ["87", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Immunopathology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113711
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253818
\n", "
\n
\n\n
\n"], ["870", "Allopathic & Osteopathic Physicians", "", "
Preventive Medicine
\n", "", "
\nA preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.\n
\n
\n", "
Preventive Medicine/Occupational Environmental Medicine
\n", "", "
Active
\n", "", "
V182804
\n", "
2083P0500X
\n", "", "
84
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251958
\n", "
\n
\n\n
\n"], ["871", "Allopathic & Osteopathic Physicians", "", "
Preventive Medicine
\n", "", "
\nPublic health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, \nsecondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.\n
\n
\n", "
Public Health & General Preventive Medicine
\n", "", "
Active
\n", "", "
V182805
\n", "
2083P0901X
\n", "", "
84
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251961
\n", "
\n
\n\n
\n"], ["872", "Allopathic & Osteopathic Physicians", "", "
Preventive Medicine
\n", "", "
\nA preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.\n
\n
\n", "
Sports Medicine
\n", "", "
Active
\n", "", "
V182806
\n", "
2083S0010X
\n", "", "
84
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251964
\n", "
\n
\n\n
\n"], ["873", "Allopathic & Osteopathic Physicians", "", "
Preventive Medicine
\n", "", "
\nMedical toxicologists are physicians who specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for \npeople in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, \nchemicals and hazardous materials, terrorism preparedness, venomous bites and stings, and environmental and workplace exposures.\n
\n
\n", "
Medical Toxicology
\n", "", "
Active
\n", "", "
V182802
\n", "
2083T0002X
\n", "", "
84
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251967
\n", "
\n
\n\n
\n"], ["874", "Allopathic & Osteopathic Physicians", "", "
Preventive Medicine
\n", "", "
\nOccupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this \nfield address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.\n
\n
\n", "
Occupational Medicine
\n", "", "
Active
\n", "", "
V182803
\n", "
2083X0100X
\n", "", "
84
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251970
\n", "
\n
\n\n
\n"], ["875", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nA doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine\n
\n
\n", "
Addiction Medicine
\n", "", "
Active
\n", "", "
V182901
\n", "
2084A0401X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251973
\n", "
\n
\n\n
\n"], ["876", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nForensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and \nforensic psychiatry hospitals.\n
\n
\n", "
Forensic Psychiatry
\n", "", "
Active
\n", "", "
V182905
\n", "
2084F0202X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251991
\n", "
\n
\n\n
\n"], ["877", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nA Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.\n
\n
\n", "
Neurology
\n", "", "
Active
\n", "", "
V182908
\n", "
2084N0400X
\n", "", "
13
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252000
\n", "
\n
\n\n
\n"], ["878", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nA Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.\n
\n
\n", "
Neurology with Special Qualifications in Child Neurology
\n", "", "
Active
\n", "", "
V182909
\n", "
2084N0402X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252003
\n", "
\n
\n\n
\n"], ["879", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nClinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such \nas electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).\n
\n
\n", "
Clinical Neurophysiology
\n", "", "
Active
\n", "", "
V182904
\n", "
2084N0600X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252006
\n", "
\n
\n\n
\n"], ["88", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Medical Microbiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113712
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253821
\n", "
\n
\n\n
\n"], ["880", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nA pediatrician or neurologist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation and chronic behavioral syndromes, or neurologic conditions.\n
\n
\n", "
Neurodevelopmental Disabilities
\n", "", "
Active
\n", "", "
V182907
\n", "
2084P0005X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252009
\n", "
\n
\n\n
\n"], ["881", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment \ndisorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological \nand interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.\n
\n
\n", "
Psychiatry
\n", "", "
Active
\n", "", "
V182911
\n", "
2084P0800X
\n", "", "
26
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252018
\n", "
\n
\n\n
\n"], ["882", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nAddiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric \ndisorders.\n
\n
\n", "
Addiction Psychiatry
\n", "", "
Active
\n", "", "
V182902
\n", "
2084P0802X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252021
\n", "
\n
\n\n
\n"], ["883", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nChild & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.\n
\n
\n", "
Child & Adolescent Psychiatry
\n", "", "
Active
\n", "", "
V182903
\n", "
2084P0804X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252024
\n", "
\n
\n\n
\n"], ["884", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nGeriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.\n
\n
\n", "
Geriatric Psychiatry
\n", "", "
Active
\n", "", "
V182906
\n", "
2084P0805X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252027
\n", "
\n
\n\n
\n"], ["885", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nA 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 \ncare needs may also be coordinated with other specialists.\n
\n
\n", "
Pain Medicine
\n", "", "
Active
\n", "", "
V182910
\n", "
2084P2900X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252030
\n", "
\n
\n\n
\n"], ["886", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nA psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries.\n
\n
\n", "
Sports Medicine
\n", "", "
Active
\n", "", "
V182912
\n", "
2084S0010X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252033
\n", "
\n
\n\n
\n"], ["887", "Allopathic & Osteopathic Physicians", "", "
Psychiatry & Neurology
\n", "", "
\nVascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a \nlarge number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.\n
\n
\n", "
Vascular Neurology
\n", "", "
Active
\n", "", "
V182913
\n", "
2084V0102X
\n", "", "
86
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252039
\n", "
\n
\n\n
\n"], ["888", "Allopathic & Osteopathic Physicians", "", "
Radiology
\n", "", "
\nA Radiology doctor of Osteopathy that specializes in Body Imaging.\n
\n
\n", "
Body Imaging
\n", "", "
Active
\n", "", "
V183001
\n", "
2085B0100X
\n", "", "
30
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252042
\n", "
\n
\n\n
\n"], ["889", "Allopathic & Osteopathic Physicians", "", "
Radiology
\n", "", "
\nA radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.\n
\n
\n", "
Neuroradiology
\n", "", "
Active
\n", "", "
V183004
\n", "
2085N0700X
\n", "", "
30
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252051
\n", "
\n
\n\n
\n"], ["89", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Neuropathology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113713
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253824
\n", "
\n
\n\n
\n"], ["890", "Allopathic & Osteopathic Physicians", "", "
Radiology
\n", "", "
\nA radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.\n
\n
\n", "
Nuclear Radiology
\n", "", "
Active
\n", "", "
V183005
\n", "
2085N0904X
\n", "", "
30
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252054
\n", "
\n
\n\n
\n"], ["891", "Allopathic & Osteopathic Physicians", "", "
Radiology
\n", "", "
\nA radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the \ncare and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that \nbegin in childhood but cause substantial residual impairment in adulthood.\n
\n
\n", "
Pediatric Radiology
\n", "", "
Active
\n", "", "
V183006
\n", "
2085P0229X
\n", "", "
30
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252057
\n", "
\n
\n\n
\n"], ["892", "Allopathic & Osteopathic Physicians", "", "
Radiology
\n", "", "
\nA radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.\n
\n
\n", "
Radiation Oncology
\n", "", "
Active
\n", "", "
V183007
\n", "
2085R0001X
\n", "", "
92
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252060
\n", "
\n
\n\n
\n"], ["893", "Allopathic & Osteopathic Physicians", "", "
Radiology
\n", "", "
\nA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.\n
\n
\n", "
Diagnostic Radiology
\n", "", "
Active
\n", "", "
V183002
\n", "
2085R0202X
\n", "", "
30
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252072
\n", "
\n
\n\n
\n"], ["894", "Allopathic & Osteopathic Physicians", "", "
Radiology
\n", "", "
\nTherapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.\n
\n
\n", "
Therapeutic Radiology
\n", "", "
Active
\n", "", "
V183009
\n", "
2085R0203X
\n", "", "
30
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252078
\n", "
\n
\n\n
\n"], ["895", "Allopathic & Osteopathic Physicians", "", "
Radiology
\n", "", "
\nA radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.\n
\n
\n", "
Vascular & Interventional Radiology
\n", "", "
Active
\n", "", "
V183010
\n", "
2085R0204X
\n", "", "
94
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252081
\n", "
\n
\n\n
\n"], ["896", "Allopathic & Osteopathic Physicians", "", "
Radiology
\n", "", "
\nA radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, \nincluding radiation safety.\n
\n
\n", "
Radiological Physics
\n", "", "
Active
\n", "", "
V183008
\n", "
2085R0205X
\n", "", "
30
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252084
\n", "
\n
\n\n
\n"], ["897", "Allopathic & Osteopathic Physicians", "", "
Radiology
\n", "", "
\nA Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.\n
\n
\n", "
Diagnostic Ultrasound
\n", "", "
Active
\n", "", "
V183003
\n", "
2085U0001X
\n", "", "
30
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252087
\n", "
\n
\n\n
\n"], ["898", "Allopathic & Osteopathic Physicians", "", "
Surgery
\n", "", "
\nA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; \nendocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. \nMany general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.\n
\n
\n", "", "", "
Active
\n", "", "
V183100
\n", "
208600000X
\n", "", "
02
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252090
\n", "
\n
\n\n
\n"], ["899", "Allopathic & Osteopathic Physicians", "", "
Surgery
\n", "", "
\nA surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist \nmay have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.\n
\n
\n", "
Surgical Critical Care
\n", "", "
Active
\n", "", "
V183104
\n", "
2086S0102X
\n", "", "
02
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5252096
\n", "
\n
\n\n
\n"], ["9", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Body Imaging
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V110500
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253551
\n", "
\n
\n\n
\n"], ["90", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Pathology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113714
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253827
\n", "
\n
\n\n
\n"], ["900", "Allopathic & Osteopathic Physicians", "", "
Surgery
\n", "", "
\nA surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.\n
\n
\n", "
Surgery of the Hand
\n", "", "
Active
\n", "", "
V183103
\n", "
2086S0105X
\n", "", "
40
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251400
\n", "
\n
\n\n
\n"], ["901", "Allopathic & Osteopathic Physicians", "", "
Surgery
\n", "", "
\nA surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.\n
\n
\n", "
Pediatric Surgery
\n", "", "
Active
\n", "", "
V183101
\n", "
2086S0120X
\n", "", "
02
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251403
\n", "
\n
\n\n
\n"], ["902", "Allopathic & Osteopathic Physicians", "", "
Surgery
\n", "", "
\nA surgeon who specializes in plastic and reconstructive surgery.\n
\n
\n", "
Plastic and Reconstructive Surgery
\n", "", "
Active
\n", "", "
V183102
\n", "
2086S0122X
\n", "", "
02
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251406
\n", "
\n
\n\n
\n"], ["903", "Allopathic & Osteopathic Physicians", "", "
Surgery
\n", "", "
\nTrauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, \ntypically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology \ncritical care must be completed during or after general surgery residency.\n
\n
\n", "
Trauma Surgery
\n", "", "
Active
\n", "", "
V183106
\n", "
2086S0127X
\n", "", "
02
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251409
\n", "
\n
\n\n
\n"], ["904", "Allopathic & Osteopathic Physicians", "", "
Surgery
\n", "", "
\nA surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.\n
\n
\n", "
Vascular Surgery
\n", "", "
Active
\n", "", "
V183107
\n", "
2086S0129X
\n", "", "
77
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251412
\n", "
\n
\n\n
\n"], ["905", "Allopathic & Osteopathic Physicians", "", "
Surgery
\n", "", "
\nA surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of \nhis or her professional practice to these activities and cancer research.\n
\n
\n", "
Surgical Oncology
\n", "", "
Active
\n", "", "
V183105
\n", "
2086X0206X
\n", "", "
91
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251415
\n", "
\n
\n\n
\n"], ["906", "Allopathic & Osteopathic Physicians", "", "
Urology
\n", "", "
\nA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired \nconditions of the urinary and reproductive systems and their contiguous structures.\n
\n
\n", "", "", "
Active
\n", "", "
V183400
\n", "
208800000X
\n", "", "
34
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251418
\n", "
\n
\n\n
\n"], ["907", "Allopathic & Osteopathic Physicians", "", "
Colon & Rectal Surgery
\n", "", "
\nA colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the \nliver, urinary and female reproductive system) involved with primary intestinal disease.\n
\n
\n", "", "", "
Active
\n", "", "
V180400
\n", "
208C00000X
\n", "", "
28
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251427
\n", "
\n
\n\n
\n"], ["908", "Allopathic & Osteopathic Physicians", "", "
General Practice
\n", "", "
\nA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.\n
\n
\n", "", "", "
Active
\n", "", "
V180800
\n", "
208D00000X
\n", "", "
01
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251430
\n", "
\n
\n\n
\n"], ["909", "Allopathic & Osteopathic Physicians", "", "
Thoracic Surgery (Cardiothoracic Vascular Surgery)
\n", "", "
\nA thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities \nof the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.\n
\n
\n", "", "", "
Active
\n", "", "
V183200
\n", "
208G00000X
\n", "", "
33
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251433
\n", "
\n
\n\n
\n"], ["91", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Allergy & Immunology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113800
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253836
\n", "
\n
\n\n
\n"], ["910", "Allopathic & Osteopathic Physicians", "", "
Hospitalist
\n", "", "
\nHospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers \nto physicians whose practice emphasizes providing care for hospitalized patients.\n
\n
\n", "", "", "
Active
\n", "", "
V180900
\n", "
208M00000X
\n", "", "
C6
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251436
\n", "
\n
\n\n
\n"], ["911", "Allopathic & Osteopathic Physicians", "", "
Clinical Pharmacology
\n", "", "
\nClinical pharmacology encompasses the spectrum of activities related to the discovery, development, regulation, and utilization of safe and effective drugs.\n
\n
\n", "", "", "
Active
\n", "", "
V180300
\n", "
208U00000X
\n", "", "
01
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251439
\n", "
\n
\n\n
\n"], ["912", "Allopathic & Osteopathic Physicians", "", "
Pain Medicine
\n", "", "
\nPain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and \nthe evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, \nbehavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also \nmay serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety \nof settings including office, clinic, hospital, university, or governmental/public agencies.\n
\n
\n", "
Pain Medicine
\n", "", "
Active
\n", "", "
V182302
\n", "
208VP0000X
\n", "", "
72
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251442
\n", "
\n
\n\n
\n"], ["913", "Allopathic & Osteopathic Physicians", "", "
Pain Medicine
\n", "", "
\nInterventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable \npain, independently or in conjunction with other modalities of treatment.\n
\n
\n", "
Interventional Pain Medicine
\n", "", "
Active
\n", "", "
V182301
\n", "
208VP0014X
\n", "", "
09
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251445
\n", "
\n
\n\n
\n"], ["914", "Allopathic & Osteopathic Physicians", "", "
Legal Medicine
\n", "", "
\nLegal Medicine is a special field of medicine that focuses on various aspects of medicine and law. Historically, the practice of legal medicine made contributions to medicine as a scientific instrument to solve criminal perplexities. Since World \nWar II, the domain of legal medicine has broadened to include not only aspects of medical science to solve legal and criminal problems but aspects of law as it applies to medicine. Legal Medicine continues to grow as medicolegal issues like medical \nmalpractice and liability, government regulation of health care, issues of tort reform, and moral and ethical complexities presented by technological advances become increasingly prominent. Many medical schools have implemented courses which \nsupply medicolegal instruction for medical students, and many law schools now offer medicolegal courses. Also, dual degree programs in law and medicine have been created to assist physicians to bridge the gap between medicine and the law.\n
\n
\n", "", "", "
Active
\n", "", "
V181100
\n", "
209800000X
\n", "", "
11
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5251448
\n", "
\n
\n\n
\n"], ["915", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Certified
\n", "", "
\nRespiratory emergencies are commonplace in the treatment of critical care patients. Included in the assessment measurements conducted by the respiratory therapist in the critical care settings are arterial blood gas puncture and analysis, intrarterial \nmonitoring, bedside measurements of lung mechanics, hemodynamic monitoring, and inspired and expired gas measurements. This is coupled with the initiation and management of mechanical ventilation patients.\n
\n
\n", "
Critical Care
\n", "", "
Active
\n", "", "
V130701
\n", "
2278C0205X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255243
\n", "
\n
\n\n
\n"], ["916", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Certified
\n", "", "
\nThe immediate availability of diagnostic and therapeutic cardiopulmonary services in the assessment and management of trauma victims, patients requiring airway management and others requiring emergency care.\n
\n
\n", "
Emergency Care
\n", "", "
Active
\n", "", "
V130703
\n", "
2278E0002X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255246
\n", "
\n
\n\n
\n"], ["917", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Certified
\n", "", "
\nThe focus of patient and family education activities is to promote knowledge of disease process, medical therapy, and self help. Respiratory therapists are uniquely qualified to provide this service in regard to cardiopulmonary diseases and injury.\n
\n
\n", "
Educational
\n", "", "
Active
\n", "", "
V130702
\n", "
2278E1000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255249
\n", "
\n
\n\n
\n"], ["918", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Certified
\n", "", "
\nCare of older patients who have age and/or disease related decremental pulmonary changes. Diagnosis and treatment is very important for this group since chronic lung disease is the major cause of morbidity and mortality among them. Furthermore, as \nthis segment of the population increases, life expectancy is being extended.\n
\n
\n", "
Geriatric Care
\n", "", "
Active
\n", "", "
V130705
\n", "
2278G0305X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255252
\n", "
\n
\n\n
\n"], ["919", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Certified
\n", "", "
\nThis level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders.\n
\n
\n", "
General Care
\n", "", "
Active
\n", "", "
V130704
\n", "
2278G1100X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255255
\n", "
\n
\n\n
\n"], ["92", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Intensive Care
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V113900
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253839
\n", "
\n
\n\n
\n"], ["920", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Certified
\n", "", "
\nHome care fosters individual responsibility for self-management of chronic respiratory conditions. It includes individualized assessment based plans of care service developed to promote safe, proper, and sustained use of prescribed respiratory therapy \nmedications, equipment, and techniques in the home.\n
\n
\n", "
Home Health
\n", "", "
Active
\n", "", "
V130706
\n", "
2278H0200X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255258
\n", "
\n
\n\n
\n"], ["921", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Certified
\n", "", "
\nIncluded in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiological \nand sleep disorders studies.\n
\n
\n", "
Pulmonary Diagnostics
\n", "", "
Active
\n", "", "
V130710
\n", "
2278P1004X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255261
\n", "
\n
\n\n
\n"], ["922", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Certified
\n", "", "
\nThe respiratory therapist can assist the chronic pulmonary patient in returning to an optimal role in society by providing an effective program. It includes bronchopulmonary drainage, exercise therapy, and patient education.\n
\n
\n", "
Pulmonary Rehabilitation
\n", "", "
Active
\n", "", "
V130712
\n", "
2278P1005X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255264
\n", "
\n
\n\n
\n"], ["923", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Certified
\n", "", "
\nAn individual who is trained and qualified to perform pulmonary diagnostic tests. In the course of conducting these tests, the Pulmonary Function Technologist is able to setup, calibrate, maintain, and ensure the quality assurance of the pulmonary \nfunction testing equipment. In the laboratory, clinical or patient care setting the technologist instructs patients, elicits cooperation, performs procedures, monitors patient response, and evaluates patient performance. Tests results are calculated, \ncompared with predicted normal ranges, and evaluated for reliability. The technologist collects clinical history data and evaluates the clinical implications of the test results.\n
\n
\n", "
Pulmonary Function Technologist
\n", "", "
Active
\n", "", "
V130711
\n", "
2278P1006X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255267
\n", "
\n
\n\n
\n"], ["924", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Certified
\n", "", "
\nA coordinated plan of care to help dying patients and their families handle the burden of terminal care. Effective secretion management and relief of dyspnea are paramount in caring for patients with end-stage pulmonary disease.\n
\n
\n", "
Palliative/Hospice
\n", "", "
Active
\n", "", "
V130708
\n", "
2278P3800X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255270
\n", "
\n
\n\n
\n"], ["925", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Certified
\n", "", "
\nThe care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments.\n
\n
\n", "
Neonatal/Pediatrics
\n", "", "
Active
\n", "", "
V130707
\n", "
2278P3900X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255273
\n", "
\n
\n\n
\n"], ["926", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Certified
\n", "", "
\nTransport respiratory therapist provide patient assessment, initiation of treatment modalities and continued monitoring of patient status of the critically ill and injured patients with special attention to advanced airway and ventilator management. \nThe transport respiratory therapist knowledge and experience with complex neonatal, pediatric and adult patient care issues provides them with an expertise to assist with any patient care issue in a variety of transport modes.\n
\n
\n", "
Patient Transport
\n", "", "
Active
\n", "", "
V130709
\n", "
2278P4000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255276
\n", "
\n
\n\n
\n"], ["927", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Certified
\n", "", "
\nCare of residents in a long-term care environment. Respiratory modalities delivered include those similar in the general care and critical care areas but provided to less critical patients.\n
\n
\n", "
SNF/Subacute Care
\n", "", "
Active
\n", "", "
V130713
\n", "
2278S1500X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255279
\n", "
\n
\n\n
\n"], ["928", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Registered
\n", "", "
\nRespiratory emergencies are commonplace in the treatment of critical care patients. Included in the assessment measurements conducted by the respiratory therapist in the critical care settings are arterial blood gas puncture and analysis, intrarterial \nmonitoring, bedside measurements of lung mechanics, hemodynamic monitoring, and inspired and expired gas measurements. This is coupled with the initiation and management of mechanical ventilation patients.\n
\n
\n", "
Critical Care
\n", "", "
Active
\n", "", "
V130801
\n", "
2279C0205X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255288
\n", "
\n
\n\n
\n"], ["929", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Registered
\n", "", "
\nThe immediate availability of diagnostic and therapeutic cardiopulmonary services in the assessment and management of trauma victims, patients requiring airway management and others requiring emergency care.\n
\n
\n", "
Emergency Care
\n", "", "
Active
\n", "", "
V130803
\n", "
2279E0002X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255291
\n", "
\n
\n\n
\n"], ["93", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Neurology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114000
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253842
\n", "
\n
\n\n
\n"], ["930", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Registered
\n", "", "
\nThe focus of patient and family education activities is to promote knowledge of disease process, medical therapy, and self help. Respiratory therapists are uniquely qualified to provide this service in regard to cardiopulmonary diseases and injury.\n
\n
\n", "
Educational
\n", "", "
Active
\n", "", "
V130802
\n", "
2279E1000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255294
\n", "
\n
\n\n
\n"], ["931", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Registered
\n", "", "
\nCare of older patients who have age and/or disease related decremental pulmonary changes. Diagnosis and treatment is very important for this group since chronic lung disease is the major cause of morbidity and mortality among them. Furthermore, as \nthis segment of the population increases, life expectancy is being extended.\n
\n
\n", "
Geriatric Care
\n", "", "
Active
\n", "", "
V130805
\n", "
2279G0305X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255297
\n", "
\n
\n\n
\n"], ["932", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Registered
\n", "", "
\nThis level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders.\n
\n
\n", "
General Care
\n", "", "
Active
\n", "", "
V130804
\n", "
2279G1100X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255300
\n", "
\n
\n\n
\n"], ["933", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Registered
\n", "", "
\nHome care fosters individual responsibility for self-management of chronic respiratory conditions. It includes individualized assessment based plans of care service developed to promote safe, proper, and sustained use of prescribed respiratory therapy \nmedications, equipment, and techniques in the home.\n
\n
\n", "
Home Health
\n", "", "
Active
\n", "", "
V130806
\n", "
2279H0200X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255303
\n", "
\n
\n\n
\n"], ["934", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Registered
\n", "", "
\nIncluded in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiological \nand sleep disorders studies.\n
\n
\n", "
Pulmonary Diagnostics
\n", "", "
Active
\n", "", "
V130810
\n", "
2279P1004X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255306
\n", "
\n
\n\n
\n"], ["935", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Registered
\n", "", "
\nThe respiratory therapist can assist the chronic pulmonary patient in returning to an optimal role in society by providing an effective program. It includes bronchopulmonary drainage, exercise therapy, and patient education.\n
\n
\n", "
Pulmonary Rehabilitation
\n", "", "
Active
\n", "", "
V130812
\n", "
2279P1005X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255309
\n", "
\n
\n\n
\n"], ["936", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Registered
\n", "", "
\nAn individual who is trained and qualified to perform pulmonary diagnostic tests. In the course of conducting these tests, the Pulmonary Function Technologist is able to setup, calibrate, maintain, and ensure the quality assurance of the pulmonary \nfunction testing equipment. In the laboratory, clinical or patient care setting the technologist instructs patients, elicits cooperation, performs procedures, monitors patient response, and evaluates patient performance. Tests results are calculated, \ncompared with predicted normal ranges, and evaluated for reliability. The technologist collects clinical history data and evaluates the clinical implications of the test results.\n
\n
\n", "
Pulmonary Function Technologist
\n", "", "
Active
\n", "", "
V130811
\n", "
2279P1006X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255312
\n", "
\n
\n\n
\n"], ["937", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Registered
\n", "", "
\nA coordinated plan of care to help dying patients and their families handle the burden of terminal care. Effective secretion management and relief of dyspnea are paramount in caring for patients with end-stage pulmonary disease.\n
\n
\n", "
Palliative/Hospice
\n", "", "
Active
\n", "", "
V130808
\n", "
2279P3800X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255315
\n", "
\n
\n\n
\n"], ["938", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Registered
\n", "", "
\nThe care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments.\n
\n
\n", "
Neonatal/Pediatrics
\n", "", "
Active
\n", "", "
V130807
\n", "
2279P3900X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255318
\n", "
\n
\n\n
\n"], ["939", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Registered
\n", "", "
\nTransport respiratory therapist provide patient assessment, initiation of treatment modalities and continued monitoring of patient status of the critically ill and injured patients with special attention to advanced airway and ventilator management. \nThe transport respiratory therapist knowledge and experience with complex neonatal, pediatric and adult patient care issues provides them with an expertise to assist with any patient care issue in a variety of transport modes.\n
\n
\n", "
Patient Transport
\n", "", "
Active
\n", "", "
V130809
\n", "
2279P4000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255321
\n", "
\n
\n\n
\n"], ["94", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Psychiatry, Pediatric
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114100
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253851
\n", "
\n
\n\n
\n"], ["940", "Respiratory, Developmental, Rehabilitative and Restorative Service Providers", "", "
Respiratory Therapist, Registered
\n", "", "
\nCare of residents in a long-term care environment. Respiratory modalities delivered include those similar in the general care and critical care areas but provided to less critical patients.\n
\n
\n", "
SNF/Subacute Care
\n", "", "
Active
\n", "", "
V130813
\n", "
2279S1500X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255324
\n", "
\n
\n\n
\n"], ["941", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist Cardiovascular
\n", "", "
\nAn allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three areas: invasive cardiology, noninvasive cardiology, and noninvasive peripheral vascular study. Cardiovascular \ntechnologists are one type of allied health professional for which the Committee on Allied Health Education and Accreditation has accredited education programs\n
\n
\n", "", "", "
Active
\n", "", "
V151200
\n", "
246X00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255564
\n", "
\n
\n\n
\n"], ["942", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist Cardiovascular
\n", "", "
\nA cardiovascular invasive specialist/technologist monitors patients' heart rates and helps physicians in diagnosing and treating heart problems. They assist with cardiac catheterization and prepare and monitor patients during open-heart surgery and \ninsertion of pacemakers, defibrillators, and stents.\n
\n
\n", "
Cardiovascular Invasive Specialist
\n", "", "
Active
\n", "", "
V151201
\n", "
246XC2901X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255567
\n", "
\n
\n\n
\n"], ["943", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist Cardiovascular
\n", "", "
\nA vascular technologist, also known as a vascular sonographer, creates images of blood vessels and collects data that help physicians diagnose disorders affecting blood flow. Vascular technologists often evaluate blood flow and identify blocked arteries \nor blood clots.\n
\n
\n", "
Vascular Specialist
\n", "", "
Active
\n", "", "
V151203
\n", "
246XC2903X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255570
\n", "
\n
\n\n
\n"], ["944", "Technologists, Technicians & Other Technical Service Providers", "", "
Specialist/Technologist Cardiovascular
\n", "", "
\nA cardiovascular sonography technologist operates special equipment to create images and conduct tests of the cardiovascular system. They work with physicians who view the images and test results to assess and diagnose medical conditions.\n
\n
\n", "
Sonography
\n", "", "
Active
\n", "", "
V151202
\n", "
246XS1301X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255573
\n", "
\n
\n\n
\n"], ["945", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiologic Technologist
\n", "", "
\nA radiologic technologist who specializes in bone densitometry and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in performance of bone density imaging, exam techniques, \nequipment protocols, radiation safety, and patient care.\n
\n
\n", "
Bone Densitometry
\n", "", "
Active
\n", "", "
V130901
\n", "
2471B0102X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255696
\n", "
\n
\n\n
\n"], ["946", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiologic Technologist
\n", "", "
\nA radiologic technologist who specializes in cardiac interventional and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in cardiac interventional technology imaging, exam \ntechniques, equipment protocols, radiation safety, and patient care.\n
\n
\n", "
Cardiac-Interventional Technology
\n", "", "
Active
\n", "", "
V130902
\n", "
2471C1106X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255702
\n", "
\n
\n\n
\n"], ["947", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiologic Technologist
\n", "", "
\nA radiologic technologist who specializes in vascular sonography and is trained in the use of ultrasound equipment to image veins and arteries, which health care providers use to diagnose and treat various vascular conditions.\n
\n
\n", "
Vascular Sonography
\n", "", "
Active
\n", "", "
V130903
\n", "
2471V0105X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255729
\n", "
\n
\n\n
\n"], ["948", "Technologists, Technicians & Other Technical Service Providers", "", "
Radiologic Technologist
\n", "", "
\nA radiologic technologist who specializes in vascular interventional and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of vascular interventional imaging, \nexam techniques, equipment protocols, radiation safety, and patient care.\n
\n
\n", "
Vascular-Interventional Technology
\n", "", "
Active
\n", "", "
V130904
\n", "
2471V0106X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5255732
\n", "
\n
\n\n
\n"], ["949", "Physician Assistants & Advanced Practice Nursing Providers", "", "
Anesthesiologist Assistant
\n", "", "
\nAn individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology \nassistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction \nof a qualified Anesthesiologist.\n
\n
\n", "", "", "
Active
\n", "", "
V100700
\n", "
367H00000X
\n", "", "
32
\n", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253515
\n", "
\n
\n\n
\n"], ["95", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Radiology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114300
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253902
\n", "
\n
\n\n
\n"], ["950", "Nursing Service Related Providers", "", "
Chore Provider
\n", "", "
\nAn individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such \nas washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.\n
\n
\n", "", "", "
Active
\n", "", "
V170800
\n", "
372500000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253074
\n", "
\n
\n\n
\n"], ["951", "Nursing Service Related Providers", "", "
Adult Companion
\n", "", "
\nAn individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities \nas discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.\n
\n
\n", "", "", "
Active
\n", "", "
V170700
\n", "
372600000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253077
\n", "
\n
\n\n
\n"], ["952", "Nursing Service Related Providers", "", "
Day Training/Habilitation Specialist
\n", "", "
\nIndividuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.\n
\n
\n", "", "", "
Active
\n", "", "
V170900
\n", "
373H00000X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253080
\n", "
\n
\n\n
\n"], ["953", "Nursing Service Related Providers", "", "
Technician
\n", "", "
\nAn individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, \nor impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.\n
\n
\n", "
Attendant Care Provider
\n", "", "
Active
\n", "", "
V170602
\n", "
3747A0650X
\n", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253086
\n", "
\n
\n\n
\n"], ["954", "Hospitals", "", "
General Acute Care Hospital
\n", "", "
\nAn acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients \nin an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.\n
\n
\n", "", "", "
Active
\n", "", "", "
282N00000X
\n", "", "
A0
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252681
\n", "
\n
\n\n
\n"], ["955", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
VA
\n", "", "
Active
\n", "", "", "
261QV0200X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252282
\n", "
\n
\n\n
\n"], ["956", "Suppliers", "", "
Department of Veterans Affairs (VA) Pharmacy
\n", "", "
\nDepartment of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital's \nDEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based \nOutpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory \nlicensed pharmacist, and has staffing to meet its designated scope of service.\n
\n
\n", "", "", "
Active
\n", "", "", "
332100000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5255468
\n", "
\n
\n\n
\n"], ["957", "Agencies", "", "
Local Education Agency (LEA)
\n", "", "
\nThe term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals \nages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may \nprovide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech \ntherapy.\n
\n
\n", "", "", "
Active
\n", "", "", "
251300000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5251355
\n", "
\n
\n\n
\n"], ["958", "Agencies", "", "
Case Management
\n", "", "
\nAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used \nto locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management \nmay also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.\n
\n
\n", "", "", "
Active
\n", "", "", "
251B00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5251358
\n", "
\n
\n\n
\n"], ["959", "Agencies", "", "
Community/Behavioral Health
\n", "", "
\nA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those \ndisabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive \nconsultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.\n
\n
\n", "", "", "
Active
\n", "", "", "
251S00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5251379
\n", "
\n
\n\n
\n"], ["96", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatrics
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114200
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253854
\n", "
\n
\n\n
\n"], ["960", "Agencies", "", "
Day Training, Developmentally Disabled Services
\n", "", "
\nThese agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable \nthe individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.\n
\n
\n", "", "", "
Active
\n", "", "", "
251C00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5251361
\n", "
\n
\n\n
\n"], ["961", "Agencies", "", "
Early Intervention Provider Agency
\n", "", "
\nEarly intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education \nAct (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA \nand its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These \nareas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.\n
\n
\n", "", "", "
Active
\n", "", "", "
252Y00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5251391
\n", "
\n
\n\n
\n"], ["962", "Agencies", "", "
Home Health
\n", "", "
\nA public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, \nor occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern \nthe services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency \nas meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.\n
\n
\n", "", "", "
Active
\n", "", "", "
251E00000X
\n", "", "
A4
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5251364
\n", "
\n
\n\n
\n"], ["963", "Agencies", "", "
Home Infusion
\n", "", "", "", "", "
Active
\n", "", "", "
251F00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5251367
\n", "
\n
\n\n
\n"], ["964", "Agencies", "", "
Hospice Care, Community Based
\n", "", "", "", "", "
Active
\n", "", "", "
251G00000X
\n", "", "
B4
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5251370
\n", "
\n
\n\n
\n"], ["965", "Agencies", "", "
Nursing Care
\n", "", "
\nA Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency \nmay engage in providing private duty nursing and/or staffing services.\n
\n
\n", "", "", "
Active
\n", "", "", "
251J00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5251373
\n", "
\n
\n\n
\n"], ["966", "Agencies", "", "
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
\n", "", "
\nA PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). \nThe following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site \nto provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.\n
\n
\n", "", "", "
Active
\n", "", "", "
251T00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5251382
\n", "
\n
\n\n
\n"], ["967", "Agencies", "", "
Public Health or Welfare
\n", "", "", "", "", "
Active
\n", "", "", "
251K00000X
\n", "", "
60
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5251376
\n", "
\n
\n\n
\n"], ["968", "Agencies", "", "
Supports Brokerage
\n", "", "
\nA provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, \nthe service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training \nin-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information \non recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand \nthe responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a \ndistinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.\n
\n
\n", "", "", "
Active
\n", "", "", "
251X00000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5251388
\n", "
\n
\n\n
\n"], ["969", "Agencies", "", "
Voluntary or Charitable
\n", "", "", "", "", "
Active
\n", "", "", "
251V00000X
\n", "", "
61
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5251385
\n", "
\n
\n\n
\n"], ["97", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Adolescent Medicine: Pediatrics
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114201
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253857
\n", "
\n
\n\n
\n"], ["970", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups \n(e.g., radiology, poor, and public health).\n
\n
\n", "", "", "
Active
\n", "", "", "
261Q00000X
\n", "", "
70
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252105
\n", "
\n
\n\n
\n"], ["971", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient \nin the form of conjoint, group, or individual therapy, and education and/or training.\n
\n
\n", "
Adolescent and Children Mental Health
\n", "", "
Active
\n", "", "", "
261QM0855X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252180
\n", "
\n
\n\n
\n"], ["972", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Adult Day Care
\n", "", "
Active
\n", "", "", "
261QA0600X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252114
\n", "
\n
\n\n
\n"], ["973", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.\n
\n
\n", "
Adult Mental Health
\n", "", "
Active
\n", "", "", "
261QM0850X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252177
\n", "
\n
\n\n
\n"], ["974", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nAn abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning \nFacility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy.\n
\n
\n", "
Ambulatory Family Planning Facility
\n", "", "
Active
\n", "", "", "
261QA0005X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252108
\n", "
\n
\n\n
\n"], ["975", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nA fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. \nThe following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)\n
\n
\n", "
Ambulatory Fertility Facility
\n", "", "
Active
\n", "", "", "
261QA0006X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252111
\n", "
\n
\n\n
\n"], ["976", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Ambulatory Surgical
\n", "", "
Active
\n", "", "", "
261QA1903X
\n", "", "
49
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252120
\n", "
\n
\n\n
\n"], ["977", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nAn entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs.\n
\n
\n", "
Amputee
\n", "", "
Active
\n", "", "", "
261QA0900X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252117
\n", "
\n
\n\n
\n"], ["978", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nAn entity, facility, or distinct part of a facility staffed by audiology and/or speech professionals with special training in the evaluation of a patient's potential for use of an augmentative communication device, determination of the most appropriate \ndevice, adjustment and maintenance of the device, and training the patient to use the device.\n
\n
\n", "
Augmentative Communication
\n", "", "
Active
\n", "", "", "
261QA3000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252123
\n", "
\n
\n\n
\n"], ["979", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nA freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory \nservices for women and newborns.\n
\n
\n", "
Birthing
\n", "", "
Active
\n", "", "", "
261QB0400X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252126
\n", "
\n
\n\n
\n"], ["98", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Immunology, Clinical & Laboratory: Pediatric
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114202
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253860
\n", "
\n
\n\n
\n"], ["980", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Community Health
\n", "", "
Active
\n", "", "", "
261QC1500X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252132
\n", "
\n
\n\n
\n"], ["981", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Corporate Health
\n", "", "
Active
\n", "", "", "
261QC1800X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252135
\n", "
\n
\n\n
\n"], ["982", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nAn outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.\n
\n
\n", "
Critical Access Hospital
\n", "", "
Active
\n", "", "", "
261QC0050X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252129
\n", "
\n
\n\n
\n"], ["983", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Dental
\n", "", "
Active
\n", "", "", "
261QD0000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252138
\n", "
\n
\n\n
\n"], ["984", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nAn entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many \ninstances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).\n
\n
\n", "
Developmental Disabilities
\n", "", "
Active
\n", "", "", "
261QD1600X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252141
\n", "
\n
\n\n
\n"], ["985", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Emergency Care
\n", "", "
Active
\n", "", "", "
261QE0002X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252144
\n", "
\n
\n\n
\n"], ["986", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Endoscopy
\n", "", "
Active
\n", "", "", "
261QE0800X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252150
\n", "
\n
\n\n
\n"], ["987", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
End-Stage Renal Disease (ESRD) Treatment
\n", "", "
Active
\n", "", "", "
261QE0700X
\n", "", "
B4
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252147
\n", "
\n
\n\n
\n"], ["988", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nAn entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, \nand nutritional counseling, and contraceptives or prescriptions for contraceptives.\n
\n
\n", "
Family Planning, Non-Surgical
\n", "", "
Active
\n", "", "", "
261QF0050X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252153
\n", "
\n
\n\n
\n"], ["989", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Federally Qualified Health Center (FQHC)
\n", "", "
Active
\n", "", "", "
261QF0400X
\n", "", "
B4
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252156
\n", "
\n
\n\n
\n"], ["99", "Physicians (M.D. and D.O.)", "", "
Physician/Osteopath
\n", "", "", "
Pediatric Medical Toxocology
\n", "", "
Inactive
\n", "
2005-11-15 00:00:00
\n", "
V114203
\n", "", "", "", "
INDIVIDUAL
\n", "", "
YES
\n", "
5253863
\n", "
\n
\n\n
\n"], ["990", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nAn entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced.\n
\n
\n", "
Genetics
\n", "", "
Active
\n", "", "", "
261QG0250X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252159
\n", "
\n
\n\n
\n"], ["991", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Health Service
\n", "", "
Active
\n", "", "", "
261QH0100X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252162
\n", "
\n
\n\n
\n"], ["992", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nAn entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.\n
\n
\n", "
Hearing and Speech
\n", "", "
Active
\n", "", "", "
261QH0700X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252165
\n", "
\n
\n\n
\n"], ["993", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Infusion Therapy
\n", "", "
Active
\n", "", "", "
261QI0500X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252168
\n", "
\n
\n\n
\n"], ["994", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Lithotripsy
\n", "", "
Active
\n", "", "", "
261QL0400X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252171
\n", "
\n
\n\n
\n"], ["995", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Magnetic Resonance Imaging (MRI)
\n", "", "
Active
\n", "", "", "
261QM1200X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252198
\n", "
\n
\n\n
\n"], ["996", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific \npublic health needs (e.g., infectious diseases or breast and cervical cancer).\n
\n
\n", "
Medical Specialty
\n", "", "
Active
\n", "", "", "
261QM2500X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252204
\n", "
\n
\n\n
\n"], ["997", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nAn entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications \nand therapies, etc.).\n
\n
\n", "
Medically Fragile Infants and Children Day Care
\n", "", "
Active
\n", "", "", "
261QM3000X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252210
\n", "
\n
\n\n
\n"], ["998", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "", "
Mental Health (Including Community Mental Health Center)
\n", "", "
Active
\n", "", "", "
261QM0801X
\n", "", "
B4
\n", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252174
\n", "
\n
\n\n
\n"], ["999", "Ambulatory Health Care Facilities", "", "
Clinic/Center
\n", "", "
\nAn entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.\n
\n
\n", "
Methadone
\n", "", "
Active
\n", "", "", "
261QM2800X
\n", "", "", "
NON-INDIVIDUAL
\n", "", "
YES
\n", "
5252207
\n", "
\n
\n\n
\n"]]}