Mapping Professional s Adult Care Nurse Adult Psychiatric Mental Health Nursing 363LA2200X 364SP0809X Adult Health Practice Nursing s Clinical Nurse Specialist Adult Psychiatric/Mental Health Allergy and Immunology 207K00000X Allergy and Immunology W1 W7 Type(s) 03 MD/DO/CLN Ambulance Company 341600000X Transportation Services Ambulance 59 AMB Ambulatory Health Care Facility Ambulatory Surgical Center 261QR0200X Freestanding Radiology Centers 30 FRC 261QA1903X Ambulatory Health Care Facilities Clinic/ Center Ambulatory Surgical Anesthesiology 207L00000X Anesthesiology Audiologist 231H00000X Speech, Language and Hearing s Audiologists Behavior Analyst 103K00000X Behavior Analyst, Mental Health, and Counseling Cardiovascular Disease 207RC0000X Medicine Cardiovascular Disease Certified Registered Nurse Anesthetist 367500000X Practice Nursing s Certified Registered Nurse Anesthetist Certified Social Worker 104100000X Behavioral Health and Social Service s Social Worker Child/Adolescent Psychiatric Nursing 364SP0807X Practice Nursing s Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent Clinical Nurse Specialist 364S00000X Practice Nursing s Clinical Nurse Specialist Clinical Psychologist 103TC0700X Behavioral Health and Social Service s Psychologist Clinical 49 AMS 05 MD/DO/CLN 64 AUD/CLN 4N DE/CLN 06 MD/DO/CLN 43 80/P2 SP/CLN W8 89 68 PSY/CLN
Mapping Professional s Critical Care Medicine 207RC0200X Medicine Critical Care Medicine Dental Group/Clinic 261QD0000X Ambulatory Health Care Facilities Clinic/ Center Dental Dermatology 207N00000X Dermatology Diagnostic Radiology 2085R0202X Radiology Diagnostic Radiology Doctor of Chiropractic Medicine Type(s) 37 MD/DO/CLN 00 07 MD/DO/CLN 31 MD/DO/CLN 111N00000X Chiropractic s Chiropractors 95 DC/CLN Doctor of Dentistry 122300000X Dental s Dentists 19 DDS/CLN Doctor of Podiatric Medicine 213E00000X Podiatric Medicine and Surgery s Podiatrists Emergency Medicine 207P00000X Emergency Medicine 48 DPM/CLN 77 MD/DO/CLN Endodontics 1223E0200X Dental s Dentists Endodontics S9 Family Nurse 363LF0000X Family Family Practice 207Q00000X Family Medicine Gastroenterology 207RG0100X Medicine Gastroenterology General Practice 208D00000X Allopathic & Osteopathic Physicians General Practice General Surgery 208600000X Allopathic & Osteopathic Physicians Surgery Geriatric Medicine 207RG0300X Medicine Geriatric Medicine Geriatric Nurse 363LG0600X Gerontology W2 08 MD/DO/CLN 10 MD/DO/CLN 01 MD/DO/CLN 02 MD/DO/CLN 38 MD/DO/CLN Multispecialty Group/Clinic 193200000X Group Multispecialty 70 CLN W4
Mapping Professional s Gynecology 207VG0400X Obstetrics and Gynecology Gynecology Type(s) 09 MD/DO/CLN Home Infusion Therapy 251F00000X Agency Home Infusion 47 HIT Immunization Practices 261QH0100X Ambulatory Health Care Facilities Clinic/ Center Health Service Infectious Diseases 207RI0200X Medicine Infectious Disease 87 PHA 44 MD/DO/CLN Infusion Therapy 261QI0500X Ambulatory Infusion Therapy IF CLN Medicine 207R00000X Medicine 11 MD/DO/CLN Laboratory 291U00000X Laboratories Clinical Medical Laboratories 69 LAB/SUP/CLN Licensed Professional Counselor Limited License Psychologist Mammography Screening Center 101Y00000X 103T00000X 261QR0206X Behavioral Health and Social Service s Licensed Professional Counselor Behavioral Health and Social Service s Psychologist Ambulatory Health Care Facilities Clinic/ Center Radiology, Mammography Medical Surgical Nursing 364SM0705X Practice Nursing s Clinical Nurse Specialist Medical Surgical Neonatal Nurse 363LN0000X Neonatal Neurological Surgery 207T00000X Neurological Surgery Neurology 2084N0400X Psychiatry and Neurology Neurology Neuromusculoskeletal Medicine & OMM 204D00000X Neuromusculoskeletal Medicine & OMM Nuclear Medicine 207U00000X Nuclear Medicine Nurse Midwife 367A00000X Practice Nursing s Certified Nurse Midwife CO P1 LPC/CLN SP/CLN 45 SUP W6 W0 14 MD/DO/CLN 13 MD/DO/CLN 12 MD/DO/CLN 36 MD/DO/CLN 42
Mapping Professional s Nurse 363L00000X OB/GYN Nurse 363LX0001X Obstetrics & Gynecology Obstetrics 207VX0000X Obstetrics and Gynecology Obstetrics Obstetrics and Gynecology 207V00000X Obstetrics and Gynecology Occupational Therapist 225X00000X Respiratory, Developmental, Rehabilitative and Restorative Service s Occupational Therapist Ophthalmology 207W00000X Ophthalmology Ophthalmology and Otorhinolaryngology 207W00000X Ophthalmology Optometrist 152W00000X Eye and Vision Service s Optometrists Oral Surgery Medical Benefit Oral Surgery Dental Benefit 1223S0112X 1223S0112X Dental s Dentists Oral and Maxillofacial Surgery Dental s Dentists Oral and Maxillofacial Surgery Orthodontics 1223X0400X Dental s Dentists Orthodontics and Dentofacial Orthopedics Orthopaedic Surgery 207X00000X Orthopaedic Surgery Orthotist 222Z00000X Respiratory, Developmental, Rehabilitative and Restorative Service s Orthotist Otolaryngology 207Y00000X Otolaryngology Outpatient Psychiatric Facility 261QM0801X Ambulatory Health Facility Clinic/Center Mental Health Type(s) 50 W9 15 MD/DO/CLN 16 MD/DO/CLN 67 CHP/CLN 18 MD/DO/CLN 17 MD/DO/CLN 90 OD/CLN 97 DDS/CLN S1 S2 20 MD/DO/CLN 51 SUP 04 MD/DO/CLN 75 OPF
Mapping Professional s Pain Management Anesthesiology, Psychiatry/Neurology Pathological Anatomy and Clinical Pathology 208VP0014X Allopathic & Osteopathic Physicians Pain Medicine Interventional Pain Medicine 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology Pathology 207ZP0102X Pathology Anatomic Pathology and Clinical Pathology Pediatric Dentistry 1223P0221X Dental s Dentists Pediatric Dentistry Pediatric Nurse 363LP0200X Pediatrics Pediatrics 208000000X Pediatrics Type(s) 05/H1 MD/DO/CLN 21 MD/DO/CLN 22 MD/DO/CLN S3 W5 35 MD/DO/CLN Periodontics 1223P0300X Dental s Dentists Periodontics S4 Pharmacy 333600000X Suppliers Pharmacy 94 PHA Physical Medicine and Rehab 208100000X Physical Medicine and Rehab Physical Therapist 225100000X Respiratory, Developmental, Rehabilitative and Restorative Service s Physical Therapists Physician Assistant 363A00000X Practice Nursing s Physician Assistant Plastic Surgery 208200000X Plastic Surgery 25 MD/DO/CLN 65 PT/CLN 86 PA 24 MD/DO/CLN Portable X-ray Supplier 335V00000X Suppliers Portable X-ray Supplier 30/63 PXS Preventive Medicine 2083P0500X Preventive Medicine Preventive Medicine /Occupational Environment Medicine Proctology 208C00000X Colon and Rectal Surgery 39 MD/DO/CLN 28 MD/DO/CLN
Mapping Professional s Prosthetist 224P00000X Respiratory, Developmental, Rehabilitative and Restorative Service s Prosthetist Prosthetist and Orthotist 225000000X Respiratory, Developmental, Rehabilitative and Restorative Service s Orthotist/Prosthetist Fitter Prosthodontics 1223P0700X Dental s Dentists Prosthodontics Psychiatry 2084P0800X Psychiatry and Neurology Psychiatry Psychiatry and Neurology 2084P0800X Psychiatry and Neurology Psychiatry 52 SUP 53 SUP S5 Type(s) 26 MD/DO/CLN 27 MD/DO/CLN Public Health and Welfare 251K00000X Agency Public Health or Welfare 60 LAB/SUP/CLN Pulmonary Disease 207RP1001X Medicine Pulmonary Disease Radiation Oncology 2085R0001X Radiology Radiation Oncology Radiology 2085R0202X Radiology Diagnostic Radiology Registered Nurse Certified 163W00000X Nursing Service s Registered Nurse School Nurse 363LS0200X School Select Outpatient Psychiatric Facility 261QM0801X Ambulatory Health Facility Clinic/Center Mental Health 29 MD/DO/CLN 32 MD/DO/CLN 30 MD/DO/CLN 50/N2 W3 76 OPF Service Entity 171W00000X Other Service Contractor 92 SE Supplier 332B00000X Suppliers Durable Medical Equipment and Medical Supplies Thoracic Surgery 208G00000X Allopathic and Osteopathic Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery) Urology 208800000X Allopathic and Osteopathic Physicians Urology 54 SUP/CLN 33 MD/DO/CLN 34 MD/DO/CLN R039982