||The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
||Entity Type Code
||Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
||Employer Identification Number EIN
||The last name of the provider. If the provider is an individual, this is the legal name.
||Provider Organization Name Legal Business Name
||PROSEARCH HEALTHCARE, INC.
||The first name of the provider, if the provider
is an individual.
||Provider First Line Business Practice Location Address
||3780 MEDINA RD STE 110
||The name prefix or salutation of the provider
if the provider is an individual; for example, Mr., Mrs., or Corporal.
||Provider Business Practice Location Address City Name
||The abbreviations for professional degrees or credentials used or held by the provider,
if the provider is an individual. Examples
are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations
will not be verified by NPS.
||Provider Business Practice Location Address State Name
||The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
||Provider Business Practice Location Address Postal Code
||The city name in the location address of the provider being identified.
||Provider Business Practice Location Address Country Code If outside U S
||The State code in the location of the provider
||Provider Business Practice Location Address Telephone Number
||The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
||Provider Enumeration Date
||The country code in the location address of the provider being identified.
||Last Update Date
||The telephone number associated with the location address of the provider being identified.
||Authorized Official Last Name
||The fax number associated with the location
address of the provider being identified.
||Authorized Official First Name
||The date the provider was assigned a unique identifier (assigned an NPI).
||Authorized Official Title or Position
||The date that a record was last updated or changed.
||Authorized Official Telephone Number
||The 10-position telephone number of the authorized official.
||Healthcare Provider Taxonomy Code 1
||Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
||Provider License Number 1
||The license number issued to the provider being identified. The NPS can accommodate
multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
||Provider License Number State Code 1
||The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
||Healthcare Provider Primary Taxonomy Switch 1
||Other Provider Identifier 1
||Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
||Other Provider Identifier Type Code 1
||Code indicating the type of identifier currently
or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
||Other Provider Identifier State 1
||Is Organization Subpart
||Healthcare Provider Taxonomy Group 1
||193400000X SINGLE SPECIALTY GROUP