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Health Care Provider TaxonomyVERSION 6.1 July 2006
Copyright 2006 American Medical AssociationThis document is published in cooperation with the National Uniform Claim Committee (NUCC) by the American Medical Association. Permission is granted to any individual to copy and use this material as long as the copyright statement is included, the contents are not changed, and the copies are not sold or licensed. Applicable FARS/DFARS restrictions apply.JULY 2006
Table of ContentsIntroduction Individual or Groups (of Individuals)Group Allopathic & Osteopathic Physicians Behavioral Health & Social Service Providers Chiropractic Providers Dental Providers Dietary & Nutritional Service Providers Emergency Medical Service Providers Eye and Vision Services Providers Nursing Service Providers Nursing Service Related Providers Other Service Providers Pharmacy Service Providers Physician Assistants & Advanced Practice Nursing Providers Podiatric Medicine & Surgery Service Providers Respiratory, Rehabilitative & Restorative Service Providers Speech, Language and Hearing Service Providers Student, Health Care Technologists, Technicians & Other Technical Service Providers
4 55 6 27 31 32 36 38 39 41 47 50 54 57 63 64 76 78 79
Non-individualAgencies Ambulatory Health Care Facilities Hospital Units Hospitals Laboratories Managed Care Organizations Nursing & Custodial Care Facilities Residential Treatment Facilities Respite Care Facility Suppliers Transportation ServicesJULY 2006
8484 87 95 97 100 101 103 106 108 109 115
IntroductionThe Health Care Provider Taxonomy code set is published (released) twice a year on July 1st and January 1st. The July publication is effective for use on October 1st and the January publication is effective for use on April 1st. The time between the publication release and the effective date is considered an implementation period to allow providers, payers, and vendors an opportunity to incorporate any changes into their systems. This listing includes Active, Modified, and New codes and definitions approved for use effective October 1st, 2006, version 6.1. In addition one code will become inactive on October 1st, 213EG0000X (Podiatrist | General Practice), which remains in this report, and is marked Inactive.
GroupA business entity under which one or more individuals practice. A group does not require multiple professional providers. A single provider group is a valid group and would be identified by the business entity name, for instance - John Doe, PC. 193200000X Active Multi-Specialty A business group of one or more individual practitioners, who practice with different areas of specialization. [7/1/2003: new] Active Single Specialty A business group of one or more individual practitioners, all of who practice with the same area of specialization. [7/1/2003: new]
Allopathic & Osteopathic PhysiciansA broad category grouping state licensed providers in allopathic or osteopathic medicine whose scope of practice is determined by education.
Allergy & ImmunologyDefinition to come. 207KA0200X 207KI0005X Allergy Definition to come... Clinical & Laboratory Immunology Definition to come...
Active Active Active Active Active Active Active
AnesthesiologyDefinition to come... 207LA0401X 207LC0200X 207LP2900X 207LP3000X Addiction Medicine Definition to come. Critical Care Medicine Definition to come... Pain Medicine Definition to come...
New Pediatric Anesthesiology An 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 evaluation 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 scan, and radiation therapy. Source: American Academy of Pediatrics [7/1/2006: new] Active Active
Clinical PharmacologyDefinition to come...
Colon & Rectal SurgeryDefinition to come...
DermatologyDefinition to come... 207NI0002X 207NS0135X 207ND0900X 207ND0101X 207NP0225X Clinical & Laboratory Dermatological Immunology Definition to come... Dermatological Surgery Definition to come. Dermatopathology Definition to come... MOHS-Micrographic Surgery Definition to come...
Active Active Active Active Active
Active Pediatric Dermatology A dermatologist trained to diagnose and treat pediatric 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 had 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 of 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 of cosmetic disorders of the skin such as hair loss and scars, and the skin changes associated with aging. A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None.
Emergency MedicineDefinition to come... 207PE0004X 207PT0002X 207PP0204X 207PS0010X 207PE0005X Emergency Medical Services Definition to come. Medical Toxicology Definition to come... Pediatric Emergency Medicine Definition to come. Sports Medicine Definition to come...
Active Active Active Active Active
Active Undersea and Hyperbaric Medicine A 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. This 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 in altered atmospheric conditions. A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None
Family PracticeDefinition to come... 207QA0401X 207QA0000X 207QA0505X 207QG0300X 207QS0010X Addiction Medicine Definition to come... Adolescent Medicine Definition to come... Adult Medicine Definition to come. Geriatric Medicine Definition to come... Sports Medicine Definition to come...
Active Active Active Active Active Active Active Active
General PracticeDefinition to come...
HospitalistDefinition to come.
Internal MedicineDefinition to come... 207RA0401X 207RA0000X 207RA0201X 207RC0000X 207RI0001X 207RC0001X 207RC0200X 207RE0101X 207RG0100X 207RG0300X 207RH0000X 207RH0003X 207RI0008X Addiction Medicine Definition to come... Adolescent Medicine Definition to come... Allergy & Immunology Definition to come... Cardiovascular Disease Definition to come... Clinical & Laboratory Immunology Definition to come. Clinical Cardiac Electrophysiology Definition to come... Critical Care Medicine Definition to come... Endocrinology, Diabetes & Metabolism Definition to come. Gastroenterology Definition to come. Geriatric Medicine Definition to come... Hematology Definition to come... Hematology & Oncology Definition to come...
Active Active Active Active Active Active Active Active Active Active Active Active Active
Active Hepatology The 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 as Hepatologists usually, but not always, have been trained in gastrointestinal programs. Training Programs, and/or Fellowships, Preceptorships: The American Association for the Study of Liver Diseases (AASLD) is the major professional society organized for physicians with an interest in Hepatology. A subcommittee of that organization has published guidelines for training programs in the 1992 November issue of Hepatology. Source: The American Board of Internal Medicine 9/1993 ACGME Accredited Residency Program Requirements: None
Infectious Disease Definition to come...
Internal MedicineDefinition to come... 207RI0011X
Active Interventional Cardiology Interventional Cardiology is a field within Cardiology. Interventional Cardiology involves the use of specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and the use of technical procedures and medications to treat abnormalities that impair the function of the heart. Therapeutic interventional cardiac procedures are performed in special clinics or hospital-based laboratories. ACG