MVP Health Care Specialty Code to Taxonomy Code Crosswalk

Transcription

1 AA ALLERGY & IMMUNOLOGY 207K00000X Allopathic & Osteopathic Physicians Allergy & Immunology AA ALLERGY & IMMUNOLOGY 207KA0200X Allopathic & Osteopathic Physicians Allergy & Immunology Allergy AA ALLERGY & IMMUNOLOGY 207RA0201X Allopathic & Osteopathic Physicians Internal Medicine Allergy & Immunology AB ALLERGY & IMMUNOLOGY/CLINICAL & LABORATORY IMMUNOLOGY 207KI0005X Allopathic & Osteopathic Physicians Allergy & Immunology Clinical & Laboratory Immunology AC ANDROLOGY 246Z00000X Technical Service Providers Specialist/Technologist, Other AF ANESTHESIOLOGY 207L00000X Allopathic & Osteopathic Physicians Anesthesiology AF ANESTHESIOLOGY 207LA0401X Allopathic & Osteopathic Physicians Anesthesiology Addiction medicine AF ANESTHESIOLOGY 207LP3000X Allopathic & Osteopathic Physicians Anesthesia Pediatric Anesthesiology AF ANESTHESIOLOGY X Nursing Providers Nurse Anesthetist, Certified Registered AF ANESTHESIOLOGY 367H00000X Nursing Providers Anesthesiologist Assistant AH ANESTHESIOLOGY/PAIN MANAGEMENT 207LP2900X Allopathic & Osteopathic Physicians Anesthesiology Pain Medicine AH ANESTHESIOLOGY/PAIN MANAGEMENT 208VP0000X Allopathic & Osteopathic Physicians Pain Medicine Pain Medicine AH ANESTHESIOLOGY/PAIN MANAGEMENT 208VP0014X Allopathic & Osteopathic Physicians Pain Medicine Intervention Pain Medicine AH ANESTHESIOLOGY/PAIN MANAGEMENT 261QP3300X Ambulatory Health Care Facilities Clinic/Center Pain AI AUDIOLOGY 231H00000X Speech, Language and Hearing Service Providers Audiologist AI AUDIOLOGY 231HA2400X Speech, Language and Hearing Service Providers Audiologist Assistive Technology Practitioner AI AUDIOLOGY 231HA2500X Speech, Language and Hearing Service Providers Audiologist Assistive Technology Supplier AJ AUDIOLOGY/HEARING AIDS X Speech, Language and Hearing Service Providers Audiologist-Hearing Aid Fitter AJ AUDIOLOGY/HEARING AIDS X Speech, Language and Hearing Service Providers Hearing Instrument Specialist AJ AUDIOLOGY/HEARING AIDS X Suppliers Department of Veterans Affairs (VA) Pharmacy AJ AUDIOLOGY/HEARING AIDS 332S00000X Suppliers Hearing Aid Equipment CHEMICAL DEPENDENCY/CHEMICAL DEPENDENCY AL ASSESSMENT 101YA0400X Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) CHEMICAL DEPENDENCY/CHEMICAL DEPENDENCY AM TREATMENT 261QM2800X Ambulatory Health Care Facilities Clinic/Center Methadone AM CHEMICAL DEPENDENCY/CHEMICAL DEPENDENCY TREATMENT 261QR0405X Ambulatory Health Care Facilities Clinic/Center Rehabilitation, Substance Use Disorder AM AM CHEMICAL DEPENDENCY/CHEMICAL DEPENDENCY TREATMENT X Hospital Units CHEMICAL DEPENDENCY/CHEMICAL DEPENDENCY TREATMENT X Residential Treatment Facilities Rehabilitation, Substance Use Disorder Unit Substance Abuse Rehabilitation Facility

2 AM CHEMICAL DEPENDENCY/CHEMICAL DEPENDENCY TREATMENT 3245S0500X Residential Treatment Facilities Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children AN CHIROPRACTIC SERVICES 111N00000X Chiropractic Providers Chiropractor AN CHIROPRACTIC SERVICES 111NI0013X Chiropractic Independent Medical Examiner AN CHIROPRACTIC SERVICES 111NI0900X Chiropractic Providers Chiropractor Internist AN CHIROPRACTIC SERVICES 111NN0400X Chiropractic Providers Chiropractor Neurology AN CHIROPRACTIC SERVICES 111NN1001X Chiropractic Providers Chiropractor Nutrition AN CHIROPRACTIC SERVICES 111NR0200X Chiropractic Providers Chiropractor Radiology AN CHIROPRACTIC SERVICES 111NR0400X Chiropractic Providers Chiropractor Rehabilitation AN CHIROPRACTIC SERVICES 111NS0005X Chiropractic Providers Chiropractor Sports Physician AN CHIROPRACTIC SERVICES 111NT0100X Chiropractic Providers Chiropractor Thermography AN CHIROPRACTIC SERVICES 111NX0100X Chiropractic Providers Chiropractor Occupational Medicine AN CHIROPRACTIC SERVICES 111NX0800X Chiropractic Providers Chiropractor Orthopedic AO COLON & RECTAL SURGERY 208C00000X Allopathic & Osteopathic Physicians Colon & Rectal Surgery AP DERMATOLOGY 207N00000X Allopathic & Osteopathic Physicians Dermatology AP DERMATOLOGY 207ND0101X Allopathic & Osteopathic Physicians Dermatology MOHS-Micrographic Surgery AP DERMATOLOGY 207NP0225X Allopathic & Osteopathic Physicians Dermatology Pediatric Dermatology AP DERMATOLOGY 207NS0135X Allopathic & Osteopathic Physicians Dermatology Dermatological Surgery AQ DERMATOLOGY/CLINICAL & LABORATORY DERMATOLOGICAL IMMUNOLOGY 207NI0002X Allopathic & Osteopathic Physicians Dermatology Clinical & Laboratory Dermatological Immunology AR DERMATOLOGY/DERMATOPATHOLOGY 207ND0900X Allopathic & Osteopathic Physicians Dermatology Dermatopathology AS DENTISTRY X Dental Providers Dentist AS DENTISTRY 1223D0001X Dental Providers Dentist Dental Public Health AS DENTISTRY 1223E0200X Dental Providers Dentist Endodontics AS DENTISTRY 1223G0001X Dental Providers Dentist General Practice AS DENTISTRY 1223P0221X Dental Providers Dentist Pediatric Dentistry AS DENTISTRY 1223P0300X Dental Providers Dentist Periodontics AS DENTISTRY 1223P0700X Dental Providers Dentist Prosthodentics AS DENTISTRY 1223S0112X Dental Providers Dentist Oral and Maxillofacial Surgery AS DENTISTRY 1223X0008X Dental Providers Dentist Oral and Maxillofacial Radiology AS DENTISTRY 1223X0400X Dental Providers Dentist Orthodontics and Dentofacial Orthopedics AS DENTISTRY X Dental Providers Denturist AS DENTISTRY 124Q00000X Dental Providers Dental Hygienist AS DENTISTRY X Dental Providers Dental Assistant AS DENTISTRY X Dental Providers Dental Laboratory Technician AS DENTISTRY 261QD0000X Ambulatory Health Care Facilities Clinic/Center Dental AT DENTISTRY/ORAL SURGERY 204E00000X Allopathic & Osteopathic Physicians Oral & Maxillofacial Surgery AT DENTISTRY/ORAL SURGERY 261QS0112X Ambulatory Health Care Facilities Clinic/Center Oral and Maxillofacial Surgery AU DME/GENERAL 332B00000X Suppliers Durable Medical Equipment & Medical Supplies

3 AU DME/GENERAL 332BC3200X Suppliers Durable Medical Equipment & Medical Supplies Customized Equipment AU DME/GENERAL 332BD1200X Suppliers Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies AU DME/GENERAL 332BN1400X Suppliers Durable Medical Equipment & Medical Supplies Nursing Facility Supplies AU DME/GENERAL 332BP3500X Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition AW EDUCATION/CHF 163WC3500X Nursing Service Providers Registered Nurse Cardiac Rehabilitation AX EDUCATION/DIABETES 133V00000X Dietary & Nutritional Service Providers Dietitian, Registered AX EDUCATION/DIABETES 163WD0400X Nursing Service Providers Registered Nurse Diabeties Educator AY EDUCATION/ASTHMA 2279E1000X Service Providers Respiratory Therapist, Registered Educational AZ EMERGENCY MEDICINE 207P00000X Allopathic & Osteopathic Physicians Emergency Medicine AZ EMERGENCY MEDICINE 207PE0004X Allopathic & Osteopathic Physicians Emergency Medicine Emergency Medical Service AZ EMERGENCY MEDICINE 207PE0005X Allopathic & Osteopathic Physicians Emergency Medicine Undersea and Hyperbaric Medicine AZ EMERGENCY MEDICINE 207PP0204X Allopathic & Osteopathic Physicians Emergency Medicine Pediatric Emergency Medicine AZ EMERGENCY MEDICINE 207PT0002X Allopathic & Osteopathic Physicians Emergency Medicine Medical Toxicology AZ EMERGENCY MEDICINE 2080P0204X Allopathic & Osteopathic Physicians Pediatrics Pediatric Emergency Medicine AZ EMERGENCY MEDICINE 261QE0002X Ambulatory Health Care Facilities Clinic/Center Emergency Care BC EMERGENCY MEDICINE/SPORTS MEDICINE 207PS0010X Allopathic & Osteopathic Physicians Emergency Medicine Sports Medicine BD EMERGENCY MEDICINE/URGENT CARE 261QU0200X Ambulatory Health Care Facilities Clinic/Center Urgent Care BE FAMILY PLANNING 261QA0005X Ambulatory Health Care Facilities Clinic/Center Ambulatory Family Planning Facility BE FAMILY PLANNING 261QF0050X Ambulatory Health Care Facilities Clinic/Center Family Planning, Non-Surgical BF FAMILY PRACTICE 207Q00000X Allopathic & Osteopathic Physicians FAMILY MEDICINE BF FAMILY PRACTICE 207QA0000X Allopathic & Osteopathic Physicians Family Practice Adolescent Medicine BF FAMILY PRACTICE 207QA0401X Allopathic & Osteopathic Physicians Family Practice Addiction Medicine BF FAMILY PRACTICE 207QA0505X Allopathic & Osteopathic Physicians Family Practice Adult Medicine BF FAMILY PRACTICE 207QB0002X Allopathic & Osteopathic Family Medicine Bariatric Medicine BF FAMILY PRACTICE 208D00000X Allopathic & Osteopathic Physicians General Practice BF FAMILY PRACTICE 363LF0000X Nursing Providers Nurse Practitioner Family BG FAMILY PRACTICE/GERIATRIC MEDICINE 207QG0300X Allopathic & Osteopathic Physicians Family Practice Geriatric Medicine BH FAMILY PRACTICE/SPORTS MEDICINE 207QS0010X Allopathic & Osteopathic Physicians Family Practice Sports Medicine BI HOSPICE CARE 207VH0002X Allopathic & Osteopathic Physicians, Obstetrics & Gynecology Hospice and Palliative Medicine BI HOSPICE CARE 2084H0002X Allopathic & Osteopathic Physicians, Psychiatry & Neurology Hospice and Palliative Medicine BI HOSPICE CARE 251G00000X Agencies Hospice Care, Community Based BI HOSPICE CARE 315D00000X Nursing & Custodial Care Facilities Hospice, Inpatient BJ INTERNAL MEDICINE 202C00000X Allopathic & Osteopathic Physicians Independent Medical Examiner

4 BJ INTERNAL MEDICINE 207R00000X Allopathic & Osteopathic Physicians Internal Medicine BJ INTERNAL MEDICINE 207RA0401X Allopathic & Osteopathic Physicians Internal Medicine Addiction medicine BJ INTERNAL MEDICINE 207RI0001X Allopathic & Osteopathic Physicians Internal Medicine Clinical & Laboratory Immunology BJ INTERNAL MEDICINE 207RI0008X Allopathic & Osteopathic Physicians Internal Medicine Hepatology BJ INTERNAL MEDICINE 207RS0012X Allopathic & Osteopathic Physicians Internal Medicine Sleep Medicine BJ INTERNAL MEDICINE 208M00000X Allopathic & Osteopathic Physicians Hospitalist BJ INTERNAL MEDICINE 261QP2300X Ambulatory Health Care Facilities Clinic/Center Primary Care BJ INTERNAL MEDICINE 261QS1000X Ambulatory Health Care Facilities Clinic/Center Student Health BJ INTERNAL MEDICINE 363AM0700X Nursing Providers Physician Assistant Medical BJ INTERNAL MEDICINE 363LA2200X Nursing Providers Nurse Practitioner Adult Health BK INTERNAL MEDICINE/ADOLESCENT MEDICINE 207RA0000X Allopathic & Osteopathic Physicians Internal Medicine Adolescent Medicine BM INTERNAL MEDICINE/CLINICAL CARDIAC ELECTROPHYSIOLOGY 207RC0001X Allopathic & Osteopathic Physicians Internal Medicine Clinical Cardiac Electrophysiology BN INTERNAL MEDICINE/SPORTS MEDICINE 207RS0010X Allopathic & Osteopathic Physicians Internal Medicine Sports Medicine BO INTERNAL MEDICINE/CARDIOVASCULAR DISEASE 207RC0000X Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease BO INTERNAL MEDICINE/CARDIOVASCULAR DISEASE 207RI0011X Allopathic & Osteopathic Physicians Internal Medicine Interventional Cardiology BO INTERNAL MEDICINE/CARDIOVASCULAR DISEASE 246W00000X Technical Service Providers Technician, Cardiology BO INTERNAL MEDICINE/CARDIOVASCULAR DISEASE 246X00000X Technical Service Providers Specialist/Technologist Cardiovascular BO INTERNAL MEDICINE/CARDIOVASCULAR DISEASE 246XC2901X Technical Service Providers Specialist/Technologist Cardiovascular Cardiovascular Invasive Specialist BO INTERNAL MEDICINE/CARDIOVASCULAR DISEASE 246XS1301X Technical Service Providers Specialist/Technologist Cardiovascular Sonography INTERNAL MEDICINE/CARDIOVASCULAR DISEASE/CARDIAC BP REHABILITATION 261QR0404X Ambulatory Health Care Facilities Clinic/Center Rehabilitation, Cardiac Facilities BQ INTERNAL MEDICINE/CLINICAL POLYSOMNOGRAPHY 261QS1200X Ambulatory Health Care Facilities Clinic/Center Sleep Disorder Diagnostic BR INTERNAL MEDICINE/CRITICAL CARE MEDICINE 207LC0200X Allopathic & Osteopathic Physicians Anesthesiology Critical Care Medicine BR INTERNAL MEDICINE/CRITICAL CARE MEDICINE 207RC0200X Allopathic & Osteopathic Physicians Internal Medicine Critical Care Medicine BR INTERNAL MEDICINE/CRITICAL CARE MEDICINE 261QC0050X Ambulatory Health Care Facilities Clinic/Center Critical Care Hospital BR INTERNAL MEDICINE/CRITICAL CARE MEDICINE 363LC0200X Nursing Providers Nurse Practitioner Critical Care medicine BS INTERNAL MEDICINE/ENDOCRINOLOGY DIABETES & METABOLISM 207RE0101X Allopathic & Osteopathic Physicians Internal Medicine Endocrinology, Diabetes & Metabolism BT INTERNAL MEDICINE/GASTROENTEROLOGY 207RB0002X Allopathic & Osteopathic Internal Medicine Bariatric Medicine BT INTERNAL MEDICINE/GASTROENTEROLOGY 207RG0100X Allopathic & Osteopathic Physicians Internal Medicine Gastroenterology BT INTERNAL MEDICINE/GASTROENTEROLOGY 261QE0800X Ambulatory Health Care Facilities Clinic/Center Endoscopy BU INTERNAL MEDICINE/GERIATRIC MEDICINE 207RG0300X Allopathic & Osteopathic Physicians Internal Medicine Geriatric Medicine

5 BU INTERNAL MEDICINE/GERIATRIC MEDICINE 363LG0600X Nursing Providers Nurse Practitioner Gerontology BV INTERNAL MEDICINE/HEMATOLOGY 207RH0000X Allopathic & Osteopathic Physicians Internal Medicine Hematology BW INTERNAL MEDICINE/HEMATOLOGY/ONCOLOGY 207RH0003X Allopathic & Osteopathic Physicians Internal Medicine Hematology & Oncology BX INTERNAL MEDICINE/HEMATOLOGY/ONCOLOGY/INFUSION SERVICES 261QE0700X Ambulatory Health Care Facilities Clinic/Center End-Stage Renal Disease (ESRD) Treatment BX INTERNAL MEDICINE/HEMATOLOGY/ONCOLOGY/INFUSION SERVICES 261QI0500X Ambulatory Health Care Facilities Clinic/Center Infusion Therapy BY INTERNAL MEDICINE/INFECTIOUS DISEASE 207RI0200X Allopathic & Osteopathic Physicians Internal Medicine Infectious Disease BZ INTERNAL MEDICINE/NEPHROLOGY 207RN0300X Allopathic & Osteopathic Physicians Internal Medicine Nephrology BZ INTERNAL MEDICINE/NEPHROLOGY 207RT0003X Allopathic & Osteopathic Internal Medicine Transplant Hepatology BZ INTERNAL MEDICINE/NEPHROLOGY 246ZN0300X Technical Service Providers Specialist/Technologist, Other Nephrology BZ INTERNAL MEDICINE/NEPHROLOGY 2472R0900X Technical Service Providers Technician, Other Renal Dialysis BZ INTERNAL MEDICINE/NEPHROLOGY 261QL0400X Ambulatory Health Care Facilities Clinic/Center Lithotripsy CA INTERNAL MEDICINE/MEDICAL ONCOLOGY 207RX0202X Allopathic & Osteopathic Physicians Internal Medicine Medical Oncology CA INTERNAL MEDICINE/MEDICAL ONCOLOGY 261QX0200X Ambulatory Health Care Facilities Clinic/Center Oncology CB INTERNAL MEDICINE/PULMONARY DISEASE 207RP1001X Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease CC INTERNAL MEDICINE/PULMONARY DISEASE/ASTHMA 225B00000X Service Providers Pulmonary Function Technologist CD INTERNAL MEDICINE/RHEUMATOLOGY 207RR0500X Allopathic & Osteopathic Physicians Internal Medicine Rheumatology CE MEDICAL GENETICS X Other Service Providers Medical Genetics, Ph.D. Medical Genetics CE MEDICAL GENETICS X Other Service Providers Genetic Counselor, MS CE MEDICAL GENETICS 207SC0300X Allopathic & Osteopathic Physicians Medical Genetics Clinical Cytrogenetic CE MEDICAL GENETICS 207SG0201X Allopathic & Osteopathic Physicians Medical Genetics Clinical Genetics (M.D.) CE MEDICAL GENETICS 207SG0202X Allopathic & Osteopathic Physicians Medical Genetics Clinical Biochemical Genetics CE MEDICAL GENETICS 207SG0203X Allopathic & Osteopathic Physicians Medical Genetics Clinical Molecular Genetics CE MEDICAL GENETICS 207SG0205X Allopathic & Osteopathic Physicians Medical Genetics Ph.D. Medical Genetics CE MEDICAL GENETICS 207SM0001X Allopathic & Osteopathic Physicians Medical Genetics Molecular Genetic Pathology CE MEDICAL GENETICS 246ZG1000X Technical Service Providers Specialist/Technologist, Other Geneticist, Medical (PhD) CE MEDICAL GENETICS 261QG0250X Ambulatory Health Care Facilities Clinic/Center Genetics CF MULTI-DISCIPLINARY X Group Multi-specialty CF MULTI-DISCIPLINARY X Agencies Local Education Agency (LEA) CF MULTI-DISCIPLINARY 252Y00000X Agencies Early Intervention Provider Agency CF MULTI-DISCIPLINARY 261QM1300X Ambulatory Health Care Facilities Clinic/Center Multi-Specialty CF MULTI-DISCIPLINARY 261QV0200X Ambulatory Health Care Facilities Clinic/Center VA CF MULTI-DISCIPLINARY X Hospital Units Epilepsy Unit

6 CF MULTI-DISCIPLINARY 275N00000X Hospital Units Medicare Defined Swing Bed Unit CF MULTI-DISCIPLINARY 281P00000X Hospitals Chronic Disease Hospital CF MULTI-DISCIPLINARY 281PC2000X Hospitals Chronic Disease Hospital Children CF MULTI-DISCIPLINARY 282E00000X Hospitals Long Term Care Hospital CF MULTI-DISCIPLINARY 282N00000X Hospitals General Acute Care Hospital CF MULTI-DISCIPLINARY 282NC0060X Hospitals General Acute Care Hospital Critical Access CF MULTI-DISCIPLINARY 282NC2000X Hospitals General Acute Care Hospital Children CF MULTI-DISCIPLINARY 282NR1301X Hospitals General Acute Care Hospital Rural CF MULTI-DISCIPLINARY 282NW0100X Hospitals General Acute Care Hospital Women CF MULTI-DISCIPLINARY 283Q00000X Hospitals Psychiatric Hospital CF MULTI-DISCIPLINARY 283X00000X Hospitals Rehabilitation Hospital CF MULTI-DISCIPLINARY 283XC2000X Hospitals Rehabilitation Hospital Children CF MULTI-DISCIPLINARY X Hospitals Special Hospital CF MULTI-DISCIPLINARY X Hospitals Military Hospital CF MULTI-DISCIPLINARY 2865C1500X Hospitals Military Hospital Community Health CF MULTI-DISCIPLINARY 2865M2000X Hospitals Military Hospital Military General Acute Care Hospital CF MULTI-DISCIPLINARY 2865X1600X Hospitals Military Hospital Military General Acute Care Hospital. Operational (Transportable) CG NEUROLOGICAL SURGERY 207T00000X Allopathic & Osteopathic Physicians Neurological Surgery CH NUCLEAR MEDICINE 207U00000X Allopathic & Osteopathic Physicians Nuclear Medicine CI NURSING 163W00000X Nursing Service Providers Registered Nurse CI NURSING 163WA0400X Nursing Service Providers Registered Nurse Addiction (substance use disorder) CI NURSING 163WA2000X Nursing Service Providers Registered Nurse Administrator CI NURSING 163WC0200X Nursing Service Providers Registered Nurse Critical Care medicine CI NURSING 163WC0400X Nursing Service Providers Registered Nurse Case Management CI NURSING 163WC1400X Nursing Service Providers Registered Nurse College Health CI NURSING 163WC1500X Nursing Service Providers Registered Nurse Community Health CI NURSING 163WC1600X Nursing Service Providers Registered Nurse Continuing Education/Staff Development CI NURSING 163WC2100X Nursing Service Providers Registered Nurse Continence Care CI NURSING 163WD1100X Nursing Service Providers Registered Nurse Dialysis, Peritoneal CI NURSING 163WE0003X Nursing Service Providers Registered Nurse Emergency CI NURSING 163WE0900X Nursing Service Providers Registered Nurse Enterostomal Therapy CI NURSING 163WF0300X Nursing Service Providers Registered Nurse Flight CI NURSING 163WG0000X Nursing Service Providers Registered Nurse General Practice CI NURSING 163WG0100X Nursing Service Providers Registered Nurse Gastroenterology CI NURSING 163WG0600X Nursing Service Providers Registered Nurse Gerontology CI NURSING 163WH0200X Nursing Service Providers Registered Nurse Home Health CI NURSING 163WH0500X Nursing Service Providers Registered Nurse Hemodialysis CI NURSING 163WH1000X Nursing Service Providers Registered Nurse Hospice CI NURSING 163WI0500X Nursing Service Providers Registered Nurse Infusion Therapy CI NURSING 163WI0600X Nursing Service Providers Registered Nurse Infection Control

7 CI NURSING 163WL0100X Nursing Service Providers Registered Nurse Lactation Consultant CI NURSING 163WM0102X Nursing Service Providers Registered Nurse Maternal Newborn CI NURSING 163WM0705X Nursing Service Providers Registered Nurse Medical-Surgical CI NURSING 163WM1400X Nursing Service Providers Registered Nurse Nurse Massage Therapist (NMT) CI NURSING 163WN0002X Nursing Service Providers Registered Nurse Neonatal Intensive Care CI NURSING 163WN0003X Nursing Service Providers Registered Nurse Neonatal, Low-Risk CI NURSING 163WN0300X Nursing Service Providers Registered Nurse Nephrology CI NURSING 163WN0800X Nursing Service Providers Registered Nurse Neroscience CI NURSING 163WN1003X Nursing Service Providers Registered Nurse Nutrition Support CI NURSING 163WP0000X Nursing Service Providers Registered Nurse Pain Management CI NURSING 163WP0200X Nursing Service Providers Registered Nurse Pediatrics CI NURSING 163WP0218X Nursing Service Providers Registered Nurse Pediatric Oncology CI NURSING 163WP0807X Nursing Service Providers Registered Nurse Psychiatric/Mental Health, Child & Adolescent CI NURSING 163WP0808X Nursing Service Providers Registered Nurse Psychiatric/Mental Health CI NURSING 163WP0809X Nursing Service Providers Registered Nurse Psychiatric/Mental Health, Adult CI NURSING 163WP1700X Nursing Service Providers Registered Nurse Perinatal CI NURSING 163WP2201X Nursing Service Providers Registered Nurse Ambulatory Care CI NURSING 163WR0006X Nursing Service Providers Registered Nurse Registered Nurse First Assistant CI NURSING 163WR0400X Nursing Service Providers Registered Nurse Rehabilitation CI NURSING 163WR1000X Nursing Service Providers Registered Nurse Reproductive Endocrinology/Infertility CI NURSING 163WS0121X Nursing Service Providers Registered Nurse Plastic Surgery CI NURSING 163WS0200X Nursing Service Providers Registered Nurse School CI NURSING 163WU0100X Nursing Service Providers Registered Nurse Urology CI NURSING 163WW0000X Nursing Service Providers Registered Nurse Wound Care CI NURSING 163WW0101X Nursing Service Providers Registered Nurse Women's Health Care, Ambulatory CI NURSING 163WX0002X Nursing Service Providers Registered Nurse Obstetric, High-Risk CI NURSING 163WX0003X Nursing Service Providers Registered Nurse Obstetric, Inpatient CI NURSING 163WX0106X Nursing Service Providers Registered Nurse Occupational Health CI NURSING 163WX0200X Nursing Service Providers Registered Nurse Oncology CI NURSING 163WX0601X Nursing Service Providers Registered Nurse Otorhinolaryngology & Head-Neck CI NURSING 163WX0800X Nursing Service Providers Registered Nurse Orthopedic CI NURSING 163WX1100X Nursing Service Providers Registered Nurse Ophthalmic CI NURSING 163WX1500X Nursing Service Providers Registered Nurse Ostomy Care CI NURSING 164W00000X Nursing Service Providers Licensed Practical Nurse CI NURSING 164X00000X Nursing Service Providers Licensed Vocational Nurse CI NURSING 167G00000X Nursing Service Providers Licensed Psychiatric Technician CI NURSING 251E00000X Agencies Home Health CI NURSING 313M00000X Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility CI NURSING X Nursing & Custodial Care Facilities Skilled Nursing Facility

8 CI NURSING 3140N1450X Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric CI NURSING 363L00000X Nursing Providers Nurse Practitioner CI NURSING 363LA2100X Nursing Providers Nurse Practitioner Acute Care CI NURSING 363LC1500X Nursing Providers Nurse Practitioner Community Health CI NURSING 363LP2300X Nursing Providers Nurse Practitioner Primary Care CI NURSING 363LS0200X Nursing Providers Nurse Practitioner School CI NURSING 364S00000X Nursing Providers Clinical Nurse Specialist CI NURSING 364SA2100X Nursing Providers Clinical Nurse Specialist Acute Care CI NURSING 364SA2200X Nursing Providers Clinical Nurse Specialist Adult Health CI NURSING 364SC0200X Nursing Providers Clinical Nurse Specialist Critical Care medicine CI NURSING 364SC1501X Nursing Providers Clinical Nurse Specialist Community Health/Public Health CI NURSING 364SC2300X Nursing Providers Clinical Nurse Specialist Chronic Care CI NURSING 364SE0003X Nursing Providers Clinical Nurse Specialist Emergency CI NURSING 364SE1400X Nursing Providers Clinical Nurse Specialist Ethics CI NURSING 364SF0001X Nursing Providers Clinical Nurse Specialist Family Health CI NURSING 364SG0600X Nursing Providers Clinical Nurse Specialist Gerontology CI NURSING 364SH0200X Nursing Providers Clinical Nurse Specialist Home Health CI NURSING 364SH1100X Nursing Providers Clinical Nurse Specialist Holistic CI NURSING 364SI0800X Nursing Providers Clinical Nurse Specialist Informatics CI NURSING 364SL0600X Nursing Providers Clinical Nurse Specialist Long-Term Care CI NURSING 364SM0705X Nursing Providers Clinical Nurse Specialist Medical-Surgical

9 CI NURSING 364SN0000X Nursing Providers Clinical Nurse Specialist Neonatal CI NURSING 364SN0800X Nursing Providers Clinical Nurse Specialist Neuroscience CI NURSING 364SP0200X Nursing Providers Clinical Nurse Specialist Pediatrics CI NURSING 364SP0807X Nursing Providers Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent CI NURSING 364SP0808X Nursing Providers Clinical Nurse Specialist Psychiatric/Mental Health CI NURSING 364SP0809X Nursing Providers Clinical Nurse Specialist Psychiatric/Mental Health, Adult CI NURSING 364SP0810X Nursing Providers Clinical Nurse Specialist Psychiatric/Mental Health, Child & Family CI NURSING 364SP0811X Nursing Providers Clinical Nurse Specialist Psychiatric/Mental Health, Chronically Ill CI NURSING 364SP0812X Nursing Providers Clinical Nurse Specialist Psychiatric/Mental Health, Community CI NURSING 364SP0813X Nursing Providers Clinical Nurse Specialist Psychiatric/Mental Health, Geropsychiatric CI NURSING 364SP1700X Nursing Providers Clinical Nurse Specialist Perinatal CI NURSING 364SP2800X Nursing Providers Clinical Nurse Specialist Perioperative CI NURSING 364SR0400X Nursing Providers Clinical Nurse Specialist Rehabilitation CI NURSING 364SS0200X Nursing Providers Clinical Nurse Specialist School CI NURSING 364ST0500X Nursing Providers Clinical Nurse Specialist Transplantation CI NURSING 364SW0102X Nursing Providers Clinical Nurse Specialist Women's Health CI NURSING 364SX0106X Nursing Providers Clinical Nurse Specialist Occupational Health CI NURSING 364SX0200X Nursing Providers Clinical Nurse Specialist Oncology CI NURSING 364SX0204X Nursing Providers Clinical Nurse Specialist Oncology, Pediatrics CI NURSING 374U00000X Nursing Service Related Providers Home Health Aide CI NURSING 376K00000X Nursing Service Related Providers Nurse's Aide CJ NURSING/INFUSION THERAPY 251F00000X Agencies Home Infusion

10 CK OBSTETRICS & GYNECOLOGY 207V00000X Allopathic & Osteopathic Physicians Obstetrics & Gynecology CK OBSTETRICS & GYNECOLOGY 207VB0002X Allopathic & Osteoopathic Obstetrics & Gynecology Bariatric Medicine CK OBSTETRICS & GYNECOLOGY 207VC0200X Allopathic & Osteopathic Physicians Obstetrics & Gynecology Critical Care medicine CK OBSTETRICS & GYNECOLOGY 207VX0000X Allopathic & Osteopathic Physicians Obstetrics & Gynecology Obstetrics CK OBSTETRICS & GYNECOLOGY 261QB0400X Ambulatory Health Care Facilities Clinic/Center Birthing CK OBSTETRICS & GYNECOLOGY 363LW0102X Nursing Providers Nurse Practitioner Women's Health CK OBSTETRICS & GYNECOLOGY 363LX0001X Nursing Providers Nurse Practitioner Obstetrics & Gynecology CM OBSTETRICS & GYNECOLOGY/UROGYNECOLOGY 207VG0400X Allopathic & Osteopathic Physicians Obstetrics & Gynecology Gynecology CN OBSTETRICS & GYNECOLOGY/GYNECOLOGIC ONCOLOGY 207VX0201X Allopathic & Osteopathic Physicians Obstetrics & Gynecology Gynecologic Oncology CO OBSTETRICS & GYNECOLOGY/MATERNAL & FETAL MEDICINE 207VM0101X Allopathic & Osteopathic Physicians Obstetrics & Gynecology Maternal & Fetal Medicine CP OBSTETRICS & GYNECOLOGY/REPRODUCTIVE ENDOCRINOLOGY 207VE0102X Allopathic & Osteopathic Physicians Obstetrics & Gynecology Reproductive Endocrinology CP OBSTETRICS & GYNECOLOGY/REPRODUCTIVE ENDOCRINOLOGY 261QA0006X Ambulatory Health Care Facilities Clinic/Center Ambulatory Fertility Facility CQ OBSTETRICS & GYNECOLOGY/MIDWIFERY 175M00000X Other Service Providers Midwife, Lay CQ OBSTETRICS & GYNECOLOGY/MIDWIFERY 176B00000X Other Service Providers Midwife, Certified CQ OBSTETRICS & GYNECOLOGY/MIDWIFERY 367A00000X Nursing Providers Midwife, Certified Nurse CR OPHTHALMOLOGY 207W00000X Allopathic & Osteopathic Physicians Ophthalmology CR OPHTHALMOLOGY 261QS0132X Ambulatory Health Care Facilities Clinic/Center Ophthalmologic Surgery CS OPTOMETRY/EYECARE 152W00000X Eye and Vision Services Providers Optometrist CS OPTOMETRY/EYECARE 152WC0802X Eye and Vision Services Providers Optometrist Corneal and Contact Management CS OPTOMETRY/EYECARE 152WL0500X Eye and Vision Services Providers Optometrist Low Vision Rehabilitation CS OPTOMETRY/EYECARE 152WP0200X Eye and Vision Services Providers Optometrist Pediatrics CS OPTOMETRY/EYECARE 152WS0006X Eye and Vision Services Providers Optometrist Sports Vision CS OPTOMETRY/EYECARE 152WV0400X Eye and Vision Services Providers Optometrist Vision Therapy CS OPTOMETRY/EYECARE 152WX0102X Eye and Vision Services Providers Optometrist Occupational Vision CT OPTOMETRY/EYEWEAR 156F00000X Eye and Vision Services Providers Technician/Technologist CT OPTOMETRY/EYEWEAR 156FC0800X Eye and Vision Services Providers Technician/Technologist Contact Lens CT OPTOMETRY/EYEWEAR 156FC0801X Eye and Vision Services Providers Technician/Technologist Contact Lens Fitter CT OPTOMETRY/EYEWEAR 156FX1100X Eye and Vision Services Providers Technician/Technologist Ophthalmic CT OPTOMETRY/EYEWEAR 156FX1101X Eye and Vision Services Providers Technician/Technologist Ophthalmic Assistant CT OPTOMETRY/EYEWEAR 156FX1201X Eye and Vision Services Providers Technician/Technologist Optometric Assistant CT OPTOMETRY/EYEWEAR 156FX1202X Eye and Vision Services Providers Technician/Technologist Optometric Technician CT OPTOMETRY/EYEWEAR 156FX1700X Eye and Vision Services Providers Technician/Technologist Ocularist CT OPTOMETRY/EYEWEAR 156FX1800X Eye and Vision Services Providers Technician/Technologist Optician CT OPTOMETRY/EYEWEAR 156FX1900X Eye and Vision Services Providers Technician/Technologist Orthoptist

11 CT OPTOMETRY/EYEWEAR 332H00000X Suppliers Eyewear Supplier (Equipment, not the service) CU ORTHOPAEDIC SURGERY 207X00000X Allopathic & Osteopathic Physicians Orthopaedic Surgery CU ORTHOPAEDIC SURGERY 207XP3100X Allopathic & Osteopathic Physicians Orthopaedic Surgery Pediatric Orthopaedic Surgery CU ORTHOPAEDIC SURGERY 207XS0114X Allopathic & Osteopathic Physicians Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery CU ORTHOPAEDIC SURGERY 207XS0117X Allopathic & Osteopathic Physicians Orthopaedic Surgery Orthopaedic Surgery fo the Spine CU ORTHOPAEDIC SURGERY 207XX0004X Allopathic & Osteopathic Physicians Orthopaedic Surgery Foot and Ankle Surgery CU ORTHOPAEDIC SURGERY 207XX0005X Allopathic & Osteopathic Physicians Orthopaedic Surgery Sports Medicine CU ORTHOPAEDIC SURGERY 207XX0801X Allopathic & Osteopathic Physicians Orthopaedic Surgery Orthopaedic Trauma CV ORTHOPAEDIC SURGERY/HAND SURGERY 207XS0106X Allopathic & Osteopathic Physicians Orthopaedic Surgery Hand Surgery CV ORTHOPAEDIC SURGERY/HAND SURGERY 2080I0007X Allopathic & Osteopathic Physicians Pediatrics Clinical & Laboratory Immunology CW OTOLARYNGOLOGY 207Y00000X Allopathic & Osteopathic Physicians Otolaryngology CW OTOLARYNGOLOGY 207YP0228X Allopathic & Osteopathic Physicians Otolaryngology Pediatric Otolaryngology CW OTOLARYNGOLOGY 207YS0012X Allopathic & Osteopathic Physicians Otolaryngology Sleep Medicine CW OTOLARYNGOLOGY 207YS0123X Allopathic & Osteopathic Physicians Otolaryngology Facial Plastic Surgery CW OTOLARYNGOLOGY 207YX0602X Allopathic & Osteopathic Physicians Otolaryngology Otolaryngic Allergy CW OTOLARYNGOLOGY 207YX0901X Allopathic & Osteopathic Physicians Otolaryngology Otology & Neurotology CW OTOLARYNGOLOGY 207YX0905X Allopathic & Osteopathic Physicians Otolaryngology Otolaryngology/Facial Plastic Surgery CZ PATHOLOGY 202K00000X Allopathic & Osteopathic Physicians Phlebology CZ PATHOLOGY 207ZB0001X Allopathic & Osteopathic Physicians Pathology Blood Banking & Transfusion Medicine CZ PATHOLOGY 207ZC0006X Allopathic & Osteopathic Pathology Clinical Pathology CZ PATHOLOGY 207ZF0201X Allopathic & Osteopathic Physicians Pathology Forensic Pathology CZ PATHOLOGY 207ZH0000X Allopathic & Osteopathic Physicians Pathology Hematology CZ PATHOLOGY 207ZI0100X Allopathic & Osteopathic Physicians Pathology Immunopathology CZ PATHOLOGY 207ZM0300X Allopathic & Osteopathic Physicians Pathology Medical Microbiology CZ PATHOLOGY 207ZN0500X Allopathic & Osteopathic Physicians Pathology Neuropathology CZ PATHOLOGY 207ZP0007X Allopathic & Osteopathic Physicians Pathology Molecular Genetic Pathology CZ PATHOLOGY 207ZP0101X Allopathic & Osteopathic Physicians Pathology Anatomic Pathology CZ PATHOLOGY 207ZP0102X Allopathic & Osteopathic Physicians Pathology Anatomic Pathology & Clinical Pathology CZ PATHOLOGY 207ZP0104X Allopathic & Osteopathic Physicians Pathology Chemical Pathology CZ PATHOLOGY 207ZP0105X Allopathic & Osteopathic Physicians Pathology Clinical Pathology/Laboratory Medicine CZ PATHOLOGY 207ZP0213X Allopathic & Osteopathic Physicians Pathology Pediatric Pathology CZ PATHOLOGY 246Q00000X Technical Service Providers Specialist/Technologist, Pathology CZ PATHOLOGY 246QB0000X Technical Service Providers Specialist/Technologist, Pathology Blood Banking CZ PATHOLOGY 246QC1000X Technical Service Providers Specialist/Technologist, Pathology Chemistry CZ PATHOLOGY 246QC2700X Technical Service Providers Specialist/Technologist, Pathology Cytotechnology

12 CZ PATHOLOGY 246QH0000X Technical Service Providers Specialist/Technologist, Pathology Hematology CZ PATHOLOGY 246QH0401X Technical Service Providers Specialist/Technologist, Pathology Hemapheresis Practitioner CZ PATHOLOGY 246QH0600X Technical Service Providers Specialist/Technologist, Pathology Histology CZ PATHOLOGY 246QI0000X Technical Service Providers Specialist/Technologist, Pathology Immunology CZ PATHOLOGY 246QL0900X Technical Service Providers Specialist/Technologist, Pathology Laboratory Management CZ PATHOLOGY 246QL0901X Technical Service Providers Specialist/Technologist, Pathology Laboratory Management, Diplomate CZ PATHOLOGY 246QM0706X Technical Service Providers Specialist/Technologist, Pathology Medical Technologist CZ PATHOLOGY 246QM0900X Technical Service Providers Specialist/Technologist, Pathology Microbiology CZ PATHOLOGY 246R00000X Technical Service Providers Technician, Pathology CZ PATHOLOGY 246RH0600X Technical Service Providers Technician, Pathology Histology CZ PATHOLOGY 246RM2200X Technical Service Providers Technician, Pathology Medical Laboratory CZ PATHOLOGY 246RP1900X Technical Service Providers Technician, Pathology Phlebotomy CZ PATHOLOGY X Laboratories Military Clinical Medical Laboratory CZ PATHOLOGY 291U00000X Laboratories Clinical Medical Laboratory CZ PATHOLOGY X Laboratories Dental Laboratory CZ PATHOLOGY 293D00000X Laboratories Physiological Laboratory DA PATHOLOGY/DERMATOPATHOLOGY 207ZD0900X Allopathic & Osteopathic Physicians Pathology Dermatopathology DD PATHOLOGY/CYTOPATHOLOGY 207ZC0500X Allopathic & Osteopathic Physicians Pathology Cytopathology DL PEDIATRICS X Allopathic & Osteopathic Physicians Pediatrics DL PEDIATRICS 2080S0012X Allopathic & Osteopathic Physicians Pediatrics Sleep Medicine DL PEDIATRICS 363LP0200X Nursing Providers Nurse Practitioner Pediatrics DN PEDIATRICS/MEDICAL TOXICOLOGY 2080T0002X Allopathic & Osteopathic Physicians Pediatrics Medical Toxicology DP PEDIATRICS/SPORTS MEDICINE 2080S0010X Allopathic & Osteopathic Physicians Pediatrics Sports Medicine DQ PEDIATRICS/ADOLESCENT MEDICINE 2080A0000X Allopathic & Osteopathic Physicians Pediatrics Adolescent Medicine DR PEDIATRICS/DEVELOPMENTAL DISABILITIES 2080P0006X Allopathic & Osteopathic Physicians Pediatrics Developmental - Behavioral Pediatrics DR PEDIATRICS/DEVELOPMENTAL DISABILITIES 261QD1600X Ambulatory Health Care Facilities Clinic/Center Developmental Disabilities DS PEDIATRICS/NEONATAL-PERINATAL MEDICINE 2080N0001X Allopathic & Osteopathic Physicians Pediatrics Neonatal-Perinatal Medicine

13 DS PEDIATRICS/NEONATAL-PERINATAL MEDICINE 363LN0000X Nursing Providers Nurse Practitioner Neonatal DS PEDIATRICS/NEONATAL-PERINATAL MEDICINE 363LN0005X Nursing Providers Nurse Practitioner Neonatal, Critical Care DS PEDIATRICS/NEONATAL-PERINATAL MEDICINE 363LP1700X Nursing Providers Nurse Practitioner Perinatal DT PEDIATRICS/PEDIATRIC ALLERGY 2080P0201X Allopathic & Osteopathic Physicians Pediatrics Pediatric Allergy & Immunology DU PEDIATRICS/PEDIATRIC CARDIOLOGY 2080P0202X Allopathic & Osteopathic Physicians Pediatrics Pediatric Cardiology DW PEDIATRICS/PEDIATRIC ENDOCRINOLOGY 2080P0205X Allopathic & Osteopathic Physicians Pediatrics Pediatric Endocrinology DX PEDIATRICS/PEDIATRIC GASTROENTEROLOGY 2080P0206X Allopathic & Osteopathic Physicians Pediatrics Pediatric Gastroenterology DY PEDIATRICS/PEDIATRIC HEMATOLOGY-ONCOLOGY 2080P0207X Allopathic & Osteopathic Physicians Pediatrics Pediatric Hematology-Oncology DZ PEDIATRICS/PEDIATRIC INFECTIOUS DISEASE 2080P0208X Allopathic & Osteopathic Physicians Pediatrics Pediatric Infectious Diseases EB PEDIATRICS/PEDIATRIC NEPHROLOGY 2080P0210X Allopathic & Osteopathic Physicians Pediatrics Pediatric Nephrology EB PEDIATRICS/PEDIATRIC NEPHROLOGY 2080T0004X Allopathic & Osteopathic Pediatrics Pediatric Transplant Hepatology EC PEDIATRICS/PEDIATRIC NEUROSURGERY 20865S0120 Surgery Pediatric Surgery ED PEDIATRICS/PEDIATRIC PULMONOLOGY 2080P0214X Allopathic & Osteopathic Physicians Pediatrics Pediatric Pulmonology EE PEDIATRICS/PEDIATRIC RADIOLOGY 2085P0229X Allopathic & Osteopathic Physicians Radiology Pediatric Radiology EF PEDIATRICS/PEDIATRIC RHEUMATOLOGY 2080P0216X Allopathic & Osteopathic Physicians Pediatrics Pediatric Rheumatology EG PEDIATRICS/PEDIATRIC SURGERY 2086S0120X Allopathic & Osteopathic Physicians Surgery Pediatric Surgery EH PEDIATRICS/PEDIATRIC UROLOGY 2088P0231X Allopathic & Osteopathic Physicians Urology Pediatric Urology EI PEDIATRICS/PEDIATRIC CRITICAL CARE MEDICINE 2080P0203X Allopathic & Osteopathic Physicians Pediatrics Pediatric Critical Care Medicine EJ PHARMACY X Pharmacy Service Providers Pharmacist EJ PHARMACY 1835G0303X Pharmacy Service Provider Pharmacist Geriatric EJ PHARMACY 1835N0905X Pharmacy Service Providers Pharmacist Nuclear EJ PHARMACY 1835N1003X Pharmacy Service Providers Pharmacist Nutrition Support EJ PHARMACY 1835P1200X Pharmacy Service Providers Pharmacist Pharmacotherapy EJ PHARMACY 1835P1300X Pharmacy Service Providers Pharmacist Psychopharmacy EJ PHARMACY 1835X0200X Pharmacy Service Provider Pharmacist Oncology EJ PHARMACY X Pharmacy Service Providers Pharmacy Technician EJ PHARMACY X Suppliers Military/U.S. Coast Guard Pharmacy EJ PHARMACY X Suppliers Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy EJ PHARMACY X Suppliers Pharmacy EJ PHARMACY 3336C0002X Suppliers Pharmacy Clinic Pharmacy EJ PHARMACY 3336C0003X Suppliers Pharmacy Community/Retail Pharmacy EJ PHARMACY 3336C0004X Suppliers Pharmacy Compounding Pharmacy EJ PHARMACY 3336H0001X Suppliers Pharmacy Home Infusion Therapy Pharmacy EJ PHARMACY 3336I0012X Suppliers Pharmacy Institutional Pharmacy EJ PHARMACY 3336L0003X Suppliers Pharmacy Long Term Care Pharmacy EJ PHARMACY 3336M0002X Suppliers Pharmacy Mail Order Pharmacy

14 EJ PHARMACY 3336M0003X Suppliers Pharmacy Managed Care Organization Pharmacy EJ PHARMACY 3336N0007X Suppliers Pharmacy Nuclear Pharmacy EL PHYSICAL MEDICINE/REHABILITATION X Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation EL PHYSICAL MEDICINE/REHABILITATION 2081N0008X Allopathic & Osteopathic Physical Medicine & Rehabilitation Neuromuscular EL PHYSICAL MEDICINE/REHABILITATION 2081P0004X Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Spinal Cord Injury Medicine EL PHYSICAL MEDICINE/REHABILITATION 2081P2900X Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Pain Medicine EL PHYSICAL MEDICINE/REHABILITATION 2081S0010X Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Sports Medicine EL PHYSICAL MEDICINE/REHABILITATION 261QR0400X Ambulatory Health Care Facilities Clinic/Center Rehabilitation EL PHYSICAL MEDICINE/REHABILITATION 261QR0401X Ambulatory Health Care Facilities Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) EL PHYSICAL MEDICINE/REHABILITATION 273Y00000X Hospital Units Rehabilitation Unit EN PHYSICAL MEDICINE/REHABILITION/BRAIN INJURY 2081P0010X Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine EO PLASTIC SURGERY X Allopathic & Osteopathic Physicians Plastic Surgery EO PLASTIC SURGERY 2082S0099X Allopathic & Osteopathic Physicians Plastic Surgery Plastic Surgery within the Head & Neck EO PLASTIC SURGERY 2086S0122X Allopathic & Osteopathic Physicians Surgery Plastic and Reconstructive Surgery EP PLASTIC SURGERY/HAND SURGERY 2082S0105X Allopathic & Osteopathic Physicians Plastic Surgery Surgery of the Hand EP PLASTIC SURGERY/HAND SURGERY 2086S0105X Allopathic & Osteopathic Physicians Surgery Surgery of the Hand EQ PODIATRY 211D00000X Podiatric Medicine & Surgery Service Providers Assistant, Podiatric EQ PODIATRY 213E00000X Podiatric Medicine & Surgery Service Providers Podiatrist EQ PODIATRY 213EP0504X Podiatric Medicine & Surgery Service Providers Podiatrist Public Medicine EQ PODIATRY 213EP1101X Podiatric Medicine & Surgery Service Providers Podiatrist Primary Podiatric Medicine EQ PODIATRY 213ER0200X Podiatric Medicine & Surgery Service Providers Podiatrist Radiology EQ PODIATRY 213ES0000X Podiatric Medicine & Surgery Service Providers Podiatrist Sports Medicine EQ PODIATRY 213ES0103X Podiatric Medicine & Surgery Service Providers Podiatrist Foot & Ankle Surgery EQ PODIATRY 213ES0131X Podiatric Medicine & Surgery Service Providers Podiatrist Foot Surgery EQ PODIATRY 261QP1100X Ambulatory Health Care Facilities Clinic/Center Podiatric ER PREVENTIVE MEDICINE 2083A0100X Allopathic & Osteopathic Physicians Preventive Medicine Aerospace Medicine ER PREVENTIVE MEDICINE 2083P0500X Allopathic & Osteopathic Physicians Preventive Medicine Preventative Medicine/Occupational Environmental Medicine ER PREVENTIVE MEDICINE 2083P0901X Allopathic & Osteopathic Physicians Preventive Medicine Public Health & General Preventive Medicine ER PREVENTIVE MEDICINE 2083S0010X Allopathic & Osteopathic Physicians Preventive Medicine Sports Medicine ER PREVENTIVE MEDICINE 2083X0100X Allopathic & Osteopathic Physicians Preventive Medicine Occupational Medicine

15 ES PREVENTIVE MEDICINE/MEDICAL TOXICOLOGY 2083T0002X Allopathic & Osteopathic Physicians Preventive Medicine Medical Toxicology ET PREVENTIVE MEDICINE/UNDERSEA AND HYPERBARIC MEDICINE 2083P0011X Allopathic & Osteopathic Physicians Preventive Medicine Undersea and Hyperbaric Medicine EU PSYCHIATRY 101YM0800X Behavioral Health & Social Service Providers Counselor Mental Health EU PSYCHIATRY 2084A0401X Allopathic & Osteopathic Physicians Psychiatry & Neurology Addiction medicine EU PSYCHIATRY 2084F0202X Allopathic & Osteopathic Physicians Psychiatry & Neurology Forensic Pathology EU PSYCHIATRY 2084N0600X Allopathic & Osteopathic Physicians Psychiatry & Neurology Clinical Neurophysiology EU PSYCHIATRY 2084P0015X Allopathic & Osteopathic Physicians, Psychiatry & Neurology Psychosomatic Medicine EU PSYCHIATRY 2084P0800X Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry EU PSYCHIATRY 2084P0802X Allopathic & Osteopathic Physicians Psychiatry & Neurology Addiction Psyciatry EU PSYCHIATRY 2084P2900X Allopathic & Osteopathic Physicians Psychiatry & Neurology Pain Medicine EU PSYCHIATRY 2084S0010X Allopathic & Osteopathic Physicians Psychiatry & Neurology Sports Medicine EU PSYCHIATRY 261QM0801X Ambulatory Health Care Facilities Clinic/Center Mental Health (Including Community Mental Health Center) EU PSYCHIATRY 261QM0850X Ambulatory Health Care Facilities Clinic/Center Adult Mental Health EU PSYCHIATRY 273R00000X Hospital Units Psychiatric Unit EU PSYCHIATRY X Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness EU PSYCHIATRY X Residential Treatment Facilities Community Based Residential Treatment Facility, Mental Illness EU PSYCHIATRY 323P00000X Residential Treatment Facilities Psychiatric Residential Treatment Facility EU PSYCHIATRY 363LP0808X Nursing Providers Nurse Practitioner Psychiatric/Mental Health EW CHILD/ADOLESCENT/ADULT PSYCHIATRY 261QM0855X Ambulatory Health Care Facilities Clinic/Center Adolescent and Children Mental Health EW CHILD/ADOLESCENT/ADULT PSYCHIATRY 322D00000X Residential Treatment Facilities Residential Treatment Facility, Emotionally Disturbed Children EX NEUROLOGY/CLINICAL NEUROPHYSIOLOGY 2084B0002X Allopathic & Osteopathic Psychiatry & Neurology Bariatric Medicine EX NEUROLOGY/CLINICAL NEUROPHYSIOLOGY 2084N0008X Allopathic & Osteopathic Physicians Psychiatry & Neurology Neuromuscular Medicine EX NEUROLOGY/CLINICAL NEUROPHYSIOLOGY 246ZE0500X Technical Service Providers Specialist/Technologist, Other EEG EX NEUROLOGY/CLINICAL NEUROPHYSIOLOGY 246ZE0600X Technical Service Providers Specialist/Technologist, Other Electroneurodiagnostic EX NEUROLOGY/CLINICAL NEUROPHYSIOLOGY 2472E0500X Technical Service Providers Technician, Other EEG EZ PSYCHIATRY/GERIATRIC PSYCHIATRY 2084P0805X Allopathic & Osteopathic Physicians Psychiatry & Neurology Geriatric Psychiatry FA NEUROLOGY/CHILD NEUROLOGY 2084N0402X Allopathic & Osteopathic Physicians Psychiatry & Neurology Neurology with Special qualifications in Child Neurology FA NEUROLOGY/CHILD NEUROLOGY 2084P0804X Allopathic & Osteopathic Physicians Psychiatry & Neurology Child & Adolescent Psychiatry

16 FB PSYCHIATRY/EATING DISORDERS 101Y00000X Behavioral Health & Social Service Providers Counselor FC PSYCHOLOGY 102L00000X Behavioral Health & Social Service Psychoanalyst FC PSYCHOLOGY 103T00000X Behavioral Health & Social Service Providers Psychologist FC PSYCHOLOGY 103TA0400X Behavioral Health & Social Service Providers Psychologist Addiction (substance use disorder) FC PSYCHOLOGY 103TA0700X Behavioral Health & Social Service Providers Psychologist Adult Development & Aging FC PSYCHOLOGY 103TB0200X Behavioral Health & Social Service Providers Psychologist Cognitive & Behavioral FC PSYCHOLOGY 103TC0700X Behavioral Health & Social Service Providers Psychologist Clinical FC PSYCHOLOGY 103TC1900X Behavioral Health & Social Service Providers Psychologist Counseling FC PSYCHOLOGY 103TC2200X Behavioral Health & Social Service Providers Psychologist Clinical Child & Adolescent FC PSYCHOLOGY 103TE1000X Behavioral Health & Social Service Providers Psychologist Educational FC PSYCHOLOGY 103TE1100X Behavioral Health & Social Service Providers Psychologist Exercise & Sports FC PSYCHOLOGY 103TF0000X Behavioral Health & Social Service Providers Psychologist Family FC PSYCHOLOGY 103TF0200X Behavioral Health & Social Service Providers Psychologist Forensic Behavioral Health & Social Service, FC PSYCHOLOGY 103TH0004X Psychologist Health FC PSYCHOLOGY 103TH0100X Behavioral Health & Social Service Providers Psychologist Health Service FC PSYCHOLOGY 103TM1700X Behavioral Health & Social Service Providers Psychologist Men & Masculinity FC PSYCHOLOGY 103TM1800X Behavioral Health & Social Service Providers Psychologist Mental Retardation & Developmental Disabilities Behavioral Health & Social Service, FC PSYCHOLOGY 103TP0016X Psychologist Prescribing (Medical) FC PSYCHOLOGY 103TP0814X Behavioral Health & Social Service Providers Psychologist Psychoanalysis FC PSYCHOLOGY 103TP2700X Behavioral Health & Social Service Providers Psychologist Psychotherapy FC PSYCHOLOGY 103TP2701X Behavioral Health & Social Service Providers Psychologist Group Psychotherapy

17 FC PSYCHOLOGY 103TR0400X Behavioral Health & Social Service Providers Psychologist Rehabilitation FC PSYCHOLOGY 103TS0200X Behavioral Health & Social Service Providers Psychologist School FC PSYCHOLOGY 103TW0100X Behavioral Health & Social Service Providers Psychologist Women FC PSYCHOLOGY 251S00000X Agencies Community/Behavioral Health FD PSYCHOLOGY/NEUROPSYCHOLOGY 103G00000X Behavioral Health & Social Service Providers Clinical Neuropsychologist FD PSYCHOLOGY/NEUROPSYCHOLOGY 103GC0700X Behavioral Health & Social Service Providers Neuropsychologist Clinical FE RADIATION/ONCOLOGY 2085R0001X Allopathic & Osteopathic Physicians Radiology Radiation Oncology FE RADIATION/ONCOLOGY 261QX0203X Ambulatory Health Care Facilities Clinic/Center Oncology, Radiation FF RADIOLOGY 207RM1200X Allopathic & Osteopathic Physicians Internal Medicine Magnetic Resonance Imaging (MRI) FF RADIOLOGY 207UN0901X Allopathic & Osteopathic Physicians Nuclear Medicine Nuclear Cardioloty FF RADIOLOGY 207UN0902X Allopathic & Osteopathic Physicians Nuclear Medicine Nuclear Imaging & Therapy FF RADIOLOGY 207UN0903X Allopathic & Osteopathic Physicians Nuclear Medicine In Vito & In Vitro Nuclear Medicine FF RADIOLOGY 2085B0100X Allopathic & Osteopathic Physicians Radiology Body Imaging FF RADIOLOGY 2085D0003X Allopathic & Osteopathic Physicians, Radiology Diagnostic Neuroimaging FF RADIOLOGY 2085N0700X Allopathic & Osteopathic Physicians Radiology Neuroradiology FF RADIOLOGY 2085R0202X Allopathic & Osteopathic Physicians Radiology Diagnostic Radiology FF RADIOLOGY 2085R0203X Allopathic & Osteopathic Physicians Radiology Therapeutic Radiology FF RADIOLOGY 2085R0204X Allopathic & Osteopathic Physicians Radiology Vascular & Interventional Radiology FF RADIOLOGY 2085R0205X Allopathic & Osteopathic Physicians Radiology Radiological Physics FF RADIOLOGY 2085U0001X Allopathic & Osteopathic Physicians Radiology Diagnostic Ultrasound FF RADIOLOGY X Technical Service Providers Radiologic Technologist FF RADIOLOGY 2471B0102X Technical Service Providers Radiologic Technologist Bone Densitometry FF RADIOLOGY 2471C1101X Technical Service Providers Radiologic Technologist Cardiovascular-Interventional Technology FF RADIOLOGY 2471C1106X Technical Service Providers Radiologic Technologist Cardiac-Interventional Technology FF RADIOLOGY 2471C3401X Technical Service Providers Radiologic Technologist Computed Tomography FF RADIOLOGY 2471C3402X Technical Service Providers Radiologic Technologist Radiography FF RADIOLOGY 2471M1202X Technical Service Providers Radiologic Technologist Magnetic Resonance Imaging

18 FF RADIOLOGY 2471M2300X Technical Service Providers Radiologic Technologist Mammography FF RADIOLOGY 2471N0900X Technical Service Providers Radiologic Technologist Nuclear Medicine Techonology FF RADIOLOGY 2471Q0001X Technical Service Providers Radiologic Technologist Quality Management FF RADIOLOGY 2471R0002X Technical Service Providers Radiologic Technologist Radiation Therapy FF RADIOLOGY 2471S1302X Technical Service Providers Radiologic Technologist Sonography FF RADIOLOGY 2471V0105X Technical Service Providers Radiologic Technologist Vascular Sonography FF RADIOLOGY 2471V0106X Technical Service Providers Radiologic Technologist Vascular-Interventional Technology FF RADIOLOGY 261QM1200X Ambulatory Health Care Facilities Clinic/Center Magnetic Resonance Imaging (MRI) FF RADIOLOGY 261QR0200X Ambulatory Health Care Facilities Clinic/Center Radiology FF RADIOLOGY 261QR0206X Ambulatory Health Care Facilities Clinic/Center Radiology, Mammography FF RADIOLOGY 335V00000X Suppliers Portable X-Ray Supplier FH RADIOLOGY/NUCLEAR RADIOLOGY 2085N0904X Allopathic & Osteopathic Physicians Radiology Nuclear Radiology FK SOCIAL WORK X Behavioral Health & Social Service Providers Social Worker FK SOCIAL WORK 1041C0700X Behavioral Health & Social Service Providers Social Worker Clinical FK SOCIAL WORK 1041S0200X Behavioral Health & Social Service Providers Social Worker School FL SURGERY X Other Service Providers Specialist FL SURGERY 204F00000X Allopathic & Osteopathic Physicians Transplant Surgery FL SURGERY X Allopathic & Osteopathic Physicians Surgery FL SURGERY 2086S0102X Allopathic & Osteopathic Physicians Surgery Surgical Critical Care FL SURGERY 2086S0127X Allopathic & Osteopathic Physicians Surgery Trauma Surgery FL SURGERY 2086X0206X Allopathic & Osteopathic Physicians Surgery Surgical Oncology FL SURGERY 246ZS0400X Technical Service Providers Specialist/Technologist, Other Surgical FL SURGERY 261Q00000X Ambulatory Health Care Facilities Clinic/Center FL SURGERY 261QA1903X Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical FL SURGERY 363AS0400X Nursing Providers Physician Assistant Surgical FO SURGERY/HEAD & NECK 207YX0007X Allopathic & Osteopathic Physicians Otolaryngology Plastic Surgery within the Head & Neck FP SURGERY/GENERAL VASCULAR SURGERY 2086S0129X Allopathic & Osteopathic Physicians Surgery Vascular Surgery FP SURGERY/GENERAL VASCULAR SURGERY 246XC2903X Technical Service Providers Specialist/Technologist Cardiovascular Vascular Specialist

19 FQ THERAPY 261QH0700X Ambulatory Health Care Facilities Clinic/Center Hearing and Speech FR THERAPY/OCCUPATIONAL THERAPY 224Z00000X Service Providers Occupational Therapy Assistant FR THERAPY/OCCUPATIONAL THERAPY 225X00000X Service Providers Occupational Therapist FR THERAPY/OCCUPATIONAL THERAPY 225XE1200X Service Providers Occupational Therapist Ergonomics FR THERAPY/OCCUPATIONAL THERAPY 225XH1200X Service Providers Occupational Therapist Hand FR THERAPY/OCCUPATIONAL THERAPY 225XH1300X Service Providers Occupational Therapist Human Factors FR THERAPY/OCCUPATIONAL THERAPY 225XN1300X Service Providers Occupational Therapist Neurorehabilitation FR THERAPY/OCCUPATIONAL THERAPY 225XP0200X Service Providers Occupational Therapist Pediatrics FR THERAPY/OCCUPATIONAL THERAPY 225XR0403X Service Providers Occupational Therapist Rehabilitation, Driver FS THERAPY/PEDIATRIC PHYSICAL THERAPY 2251P0200X Service Providers Physical Therapist Pediatrics FT THERAPY/PHYSICAL THERAPY X Service Providers Physical Therapist FT THERAPY/PHYSICAL THERAPY 2251C2600X Service Providers Physical Therapist Cardiopulmonary FT THERAPY/PHYSICAL THERAPY 2251E1200X Service Providers Physical Therapist Ergonomics FT THERAPY/PHYSICAL THERAPY 2251E1300X Service Providers Physical Therapist Electrophysiology, Clinical FT THERAPY/PHYSICAL THERAPY 2251G0304X Service Providers Physical Therapist Geriatrics FT THERAPY/PHYSICAL THERAPY 2251H1200X Service Providers Physical Therapist Hand FT THERAPY/PHYSICAL THERAPY 2251H1300X Service Providers Physical Therapist Human Factors FT THERAPY/PHYSICAL THERAPY 2251N0400X Service Providers Physical Therapist Neurology FT THERAPY/PHYSICAL THERAPY 2251S0007X Service Providers Physical Therapist Sports FT THERAPY/PHYSICAL THERAPY 2251X0800X Service Providers Physical Therapist Orthopedic FT THERAPY/PHYSICAL THERAPY X Service Providers Physical Therapy Assistant

20 FT THERAPY/PHYSICAL THERAPY 261QP2000X Ambulatory Health Care Facilities Clinic/Center Physical Therapy FU THERAPY/SPEECH THERAPY X Speech, Language and Hearing Service Providers Specialist/Technologist FU THERAPY/SPEECH THERAPY 235Z00000X Speech, Language and Hearing Service Providers Speech-Language Pathologist FV THORACIC SURGERY 208G00000X Allopathic & Osteopathic Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery) FX TRANSPORTATION/NON-EMERGENT X Transportation Services Secured Medical Transport FX TRANSPORTATION/NON-EMERGENT X Transportation Services Non-emergency Medical Transport (VAN) FX TRANSPORTATION/NON-EMERGENT X Transportation Services Taxi FX TRANSPORTATION/NON-EMERGENT 347B00000X Transportation Services Bus FX TRANSPORTATION/NON-EMERGENT 347C00000X Transportation Services Private Vehicle FX TRANSPORTATION/NON-EMERGENT 347D00000X Transportation Services Train FX TRANSPORTATION/NON-EMERGENT 347E00000X Transportation Services Transportation Broker FY TRANSPORTATION/EMERGENCY X Transportation Services Ambulance FY TRANSPORTATION/EMERGENCY 3416A0800X Transportation Services Ambulance Air Transport FY TRANSPORTATION/EMERGENCY 3416L0300X Transportation Services Ambulance Land Transport FY TRANSPORTATION/EMERGENCY 3416S0300X Transportation Services Ambulance Water Transport FY TRANSPORTATION/EMERGENCY X Transportation Services Military or U.S. Coast Guard Transport FY TRANSPORTATION/EMERGENCY 3418M1110X Transportation Services Military Transport Military or U.S. Coast Guard Ambulance, Ground Transport FY TRANSPORTATION/EMERGENCY 3418M1120X Transportation Services Military Transport Military or U.S. Coast Guard Ambulance, Air Transport FY TRANSPORTATION/EMERGENCY 3418M1130X Transportation Services Military Transport Military or U.S. Coast Guard Ambulance, Water Transport FZ UROLOGY X Allopathic & Osteopathic Physicians Urology GA NEUROLOGY 2084D0003X Allopathic & Osteopathic Physicians, Psychiatry & Neurology Diagnostic Neuroimaging GA NEUROLOGY 2084N0400X Allopathic & Osteopathic Physicians Psychiatry & Neurology Neurology GA NEUROLOGY 2084P0005X Allopathic & Osteopathic Physicians Psychiatry & Neurology Neurodevelopmental Disabilities GA NEUROLOGY 2084V0102X Allopathic & Osteopathic Physicians Psychiatry & Neurology Vascular Neurology GA NEUROLOGY 261QM2500X Ambulatory Health Care Facilities Clinic/Center Medical Specialty GB ACUPUNCTURE X Other Service Providers Acupuncturist GC PATHOLOGY/ORAL 1223P0106X Dental Providers Dentist Oral and Maxillofacial Pathology GD DME/ORTHOTICS & PROSTHETICS 222Z00000X Service Providers Orthotist GD DME/ORTHOTICS & PROSTHETICS 224P00000X Service Providers Prosthetist