Others titles

  • Full Replacement Monthly NPI File
  • NPPES Data Dissemination
  • NPI Data Analytics for Individual/Organization
  • NPI Data Analytics for Sole Proprietor/Subpart
  • NPI Data Analytics for male/female
  • NPI Data Analytics for US States
  • NPI Data Analytics for Countries
  • NPI Data Analytics for Taxonomy Codes

Keywords

  • National Provider Identifier Standard (NPI)
  • NPPES
  • Health care providers
  • Regulation & Guidance
  • Data Dissemination
  • NPI Number
  • NPI Registry
  • National Provider Identifier

Healthcare Providers National Provider Identifier Data

This dataset contains the Health Care Providers data. Each line in the dataset represents an NPI record.
The NPI is a unique identification number for covered health care providers.

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John Snow Labs Standard End User License Agreement

Last updated:January 20, 2021

This Standard End User License Agreement (“EULA”) applies to customers of John Snow Labs Inc. (as defined below), using any product of John Snow Labs Inc. on John Snow Labs Marketplace as defined below (hereinafter referred to “you”) and John Snow Labs Inc., a Delaware corporation (“John Snow Labs”, “we” or “us”).

By downloading, installing, and/or using (as applicable) any Product of John Snow Labs (as defined below), you automatically agree to be bound by, and use our Products in compliance with, this EULA. This EULA, together with additional terms and conditions and/or policies referenced herein or located on https://www.johnsnowlabs.com and/or conveyed to you by John Snow Labs, is a legally binding contract between you and John Snow Labs.

PLEASE READ THIS EULA CAREFULLY BEFORE PURCHASING, INSTALLING OR USING OUR PRODUCTS MADE AVAILABLE ON JOHN SNOW LABS MARKETPLACE.

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Legal Notices

Enforcement of this EULA will be governed by the laws of the State of Delaware, excluding its conflict and choice of law principles. The exclusive jurisdiction and venue for any claims arising out of or related to this EULA or your use of the Products will lie in the state and federal courts located in Sussex County, within the State of Delaware, and you irrevocably agree to submit to the jurisdiction of such courts. Our failure to enforce any right or provision in this EULA will not constitute a waiver of such right or provision unless acknowledged and agreed by us in writing. In the event that a court of competent jurisdiction finds any provision of this EULA to be illegal, invalid, or unenforceable, the remaining provisions will remain in full force and effect.

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Description

In September 2007, CMS began disclosing National Plan and Provider Enumeration System (NPPES) health care provider data that are disclosable under the Freedom of Information Act (FOIA) to the public. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions.

This dataset will contain all of the FOIA-disclosable provider data in NPPES. It contains the fields identified in the NPPES Data Dissemination Notice and certain sub-fields related to those fields will be disclosed in the data set.

Note: CMS will mask SSNs, IRS ITINs, and EINs when these numbers are entered in the Other Provider Identifier Number and License Number fields as . This action also includes the continued suppression of the EINs and the suppression of the Subpart Parent Organization TINs of all Organizations in the downloadable file. CMS expects to lift the suppression of EINs and Parent Organization TINs in the future.

About this Dataset

Data Info

Date Created

2007-09

Last Modified

2023-07-10

Version

2023-07-13

Update Frequency

Monthly

Temporal Coverage

2005-05 to 2023-07

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare and Medicaid Services (CMS);

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

National Provider Identifier Standard (NPI), NPPES, Health care providers, Regulation & Guidance, Data Dissemination, NPI Number, NPI Registry, National Provider Identifier

Other Titles

Full Replacement Monthly NPI File, NPPES Data Dissemination, NPI Data Analytics for Individual/Organization, NPI Data Analytics for Sole Proprietor/Subpart, NPI Data Analytics for male/female, NPI Data Analytics for US States, NPI Data Analytics for Countries, NPI Data Analytics for Taxonomy Codes

Data Fields

Name Description Type Constraints
NPIThe NPI is a 10-digit unique identification number for covered health care providers.integerlevel : Nominalrequired : 1unique : 1pattern : d{10}
Entity_TypeIndividual or Organizationstringenum : Array ( [0] => Individual [1] => Organization )
Replacement_NPIThe NPI is a 10-digit unique identification number for covered health care providers.integerlevel : Nominalpattern : d{10}
Employer_Identification_NumberEmployer Identification number. The value is not disclosed by CMSstring-
Provider_Organization_NameLegal Business NamestringmaxLength : 70
Provider_Last_NameLegal NamestringmaxLength : 35
Provider_First_NameFirst NamestringmaxLength : 20
Provider_Middle_NameMiddle NamestringmaxLength : 20
Provider_Name_Prefix_CodeName Prefix codesstringmaxLength : 5
Provider_Name_Suffix_CodeName Suffix codesstringmaxLength : 5
Provider_Credential_TextProvider Credential TextstringmaxLength : 20
Provider_Other_Organization_NameOrganization NamestringmaxLength : 70
Provider_Other_Organization_Name_Type_DescriptionProvider Other Organization Name Type Descriptionstring-
Provider_Other_Last_NameLegal NamestringmaxLength : 35
Provider_Other_First_NameFirst NamestringmaxLength : 20
Provider_Other_Middle_NameMiddle NamestringmaxLength : 20
Provider_Other_Name_Prefix_CodeName Prefix codesstringmaxLength : 5
Provider_Other_Name_Suffix_CodeName Suffix codesstringmaxLength : 5
Provider_Other_Credential_TextProvider Credential TextstringmaxLength : 20
Provider_Other_Last_Name_Type_DescriptionProvider Other Last Name Type Descriptionstring-
Provider_Business_Mailing_Address_First_LineFirst line business addressstringmaxLength : 55
Provider_Business_Mailing_Address_Second_LineSecond line business addressstringmaxLength : 55
Provider_Business_Mailing_Address_City_NameCity namestringmaxLength : 40
Provider_Business_Mailing_Address_State_NameUS State CodestringmaxLength : 100
Provider_Business_Mailing_Address_Postal_CodeZip CodestringmaxLength : 20
Provider_Business_Mailing_Address_Country_CodeEnrich: GeoCodestringmaxLength : 2
Provider_Business_Mailing_Address_Telephone_NumberTelephone numberstringmaxLength : 20
Provider_Business_Mailing_Address_Fax_NumberFax numberstringmaxLength : 20
Provider_Business_Practice_Location_Address_First_LineFirst line business addressstringmaxLength : 55
Provider_Business_Practice_Location_Address_Second_LineSecond line business addressstringmaxLength : 55
Provider_Business_Practice_Location_Address_City_NameCity namestringmaxLength : 40
Provider_Business_Practice_Location_Address_State_NameUS State CodestringmaxLength : 100
Provider_Business_Practice_Location_Address_Postal_CodeZip CodestringmaxLength : 20
Provider_Business_Practice_Location_Address_Country_CodeCountry CodestringmaxLength : 2
Provider_Business_Practice_Location_Address_Telephone_NumberTelephone numberstringmaxLength : 20
Provider_Business_Practice_Location_Address_Fax_NumberFax numberstringmaxLength : 20
Provider_Enumeration_DateEnumeration datedate-
Last_Update_DateUpdate datedate-
NPI_Deactivation_ReasonReasons for deactivationstringenum : Array ( [0] => Death [1] => Disbandment [2] => Fraud [3] => Other ) maxLength : 20
NPI_Deactivation_DateNPI Deactivation datedate-
NPI_Reactivation_DateNPI Reactivation datedate-
Provider_Gender_CodeGender codestringenum : Array ( [0] => Male [1] => Female ) maxLength : 20
Authorized_Official_Last_NameLegal NamestringmaxLength : 35
Authorized_Official_First_NameFirst NamestringmaxLength : 20
Authorized_Official_Middle_NameMiddle NamestringmaxLength : 20
Authorized_Official_Title_or_PositionTitlestringmaxLength : 35
Authorized_Official_Telephone_NumberTelephone NumberstringmaxLength : 20
Healthcare_Provider_Taxonomy_Code_1Health Care Provider Taxonomy CodestringmaxLength : 10
Provider_License_Number_1License NumberstringmaxLength : 20
Provider_License_Number_State_Code_1US State CodestringmaxLength : 2
Is_Healthcare_Provider_Primary_Taxonomy_1true-The taxonomy is the primary taxonomy(there can be only one per NPI record),false-The taxonomy is not the primary taxonomy, null–Not answeredboolean-
Healthcare_Provider_Taxonomy_Code_2Health Care Provider Taxonomy CodestringmaxLength : 10
Provider_License_Number_2License NumberstringmaxLength : 20
Provider_License_Number_State_Code_2US State CodestringmaxLength : 2
Is_Healthcare_Provider_Primary_Taxonomy_2true-The taxonomy is the primary taxonomy(there can be only one per NPI record),false-The taxonomy is not the primary taxonomy, null–Not answeredboolean-
Healthcare_Provider_Taxonomy_Code_3Health Care Provider Taxonomy CodestringmaxLength : 10
Provider_License_Number_3License NumberstringmaxLength : 20
Provider_License_Number_State_Code_3US State CodestringmaxLength : 2
Is_Healthcare_Provider_Primary_Taxonomy_3true-The taxonomy is the primary taxonomy(there can be only one per NPI record),false-The taxonomy is not the primary taxonomy, null–Not answeredboolean-
Healthcare_Provider_Taxonomy_Code_4Health Care Provider Taxonomy CodestringmaxLength : 10
Provider_License_Number_4License NumberstringmaxLength : 20
Provider_License_Number_State_Code_4US State CodestringmaxLength : 2
Is_Healthcare_Provider_Primary_Taxonomy_4true-The taxonomy is the primary taxonomy(there can be only one per NPI record),false-The taxonomy is not the primary taxonomy, null–Not answeredboolean-
Healthcare_Provider_Taxonomy_Code_5Health Care Provider Taxonomy CodestringmaxLength : 10
Provider_License_Number_5License NumberstringmaxLength : 20
Provider_License_Number_State_Code_5US State CodestringmaxLength : 2
Is_Healthcare_Provider_Primary_Taxonomy_5true-The taxonomy is the primary taxonomy(there can be only one per NPI record),false-The taxonomy is not the primary taxonomy, null–Not answeredboolean-
Healthcare_Provider_Taxonomy_Code_6Health Care Provider Taxonomy CodestringmaxLength : 10
Provider_License_Number_6License NumberstringmaxLength : 20
Provider_License_Number_State_Code_6US State CodestringmaxLength : 2
Is_Healthcare_Provider_Primary_Taxonomy_6true-The taxonomy is the primary taxonomy(there can be only one per NPI record),false-The taxonomy is not the primary taxonomy, null–Not answeredboolean-
Healthcare_Provider_Taxonomy_Code_7Health Care Provider Taxonomy CodestringmaxLength : 10
Provider_License_Number_7License NumberstringmaxLength : 20
Provider_License_Number_State_Code_7US State CodestringmaxLength : 2
Is_Healthcare_Provider_Primary_Taxonomy_7true-The taxonomy is the primary taxonomy(there can be only one per NPI record),false-The taxonomy is not the primary taxonomy, null–Not answeredboolean-
Healthcare_Provider_Taxonomy_Code_8Health Care Provider Taxonomy CodestringmaxLength : 10
Provider_License_Number_8License NumberstringmaxLength : 20
Provider_License_Number_State_Code_8US State CodestringmaxLength : 2
Is_Healthcare_Provider_Primary_Taxonomy_8true-The taxonomy is the primary taxonomy(there can be only one per NPI record),false-The taxonomy is not the primary taxonomy, null–Not answeredboolean-
Healthcare_Provider_Taxonomy_Code_9Health Care Provider Taxonomy CodestringmaxLength : 10
Provider_License_Number_9License NumberstringmaxLength : 20
Provider_License_Number_State_Code_9US State CodestringmaxLength : 2
Is_Healthcare_Provider_Primary_Taxonomy_9true-The taxonomy is the primary taxonomy(there can be only one per NPI record),false-The taxonomy is not the primary taxonomy, null–Not answeredboolean-
Healthcare_Provider_Taxonomy_Code_10Health Care Provider Taxonomy CodestringmaxLength : 10
Provider_License_Number_10License NumberstringmaxLength : 20
Provider_License_Number_State_Code_10US State CodestringmaxLength : 2
Is_Healthcare_Provider_Primary_Taxonomy_10true-The taxonomy is the primary taxonomy(there can be only one per NPI record),false-The taxonomy is not the primary taxonomy, null–Not answeredboolean-
Healthcare_Provider_Taxonomy_Code_11Health Care Provider Taxonomy CodestringmaxLength : 10
Provider_License_Number_11License NumberstringmaxLength : 20
Provider_License_Number_State_Code_11US State CodestringmaxLength : 2
Is_Healthcare_Provider_Primary_Taxonomy_11true-The taxonomy is the primary taxonomy (there can be only one per NPI record),false-The taxonomy is not the primary taxonomy, null–Not answeredboolean-
Healthcare_Provider_Taxonomy_Code_12Health Care Provider Taxonomy CodestringmaxLength : 10
Provider_License_Number_12License NumberstringmaxLength : 20
Provider_License_Number_State_Code_12US State CodestringmaxLength : 2
Is_Healthcare_Provider_Primary_Taxonomy_12true-The taxonomy is the primary taxonomy(there can be only one per NPI record),false-The taxonomy is not the primary taxonomy, null–Not answeredboolean-
Healthcare_Provider_Taxonomy_Code_13Health Care Provider Taxonomy CodestringmaxLength : 10
Provider_License_Number_13License NumberstringmaxLength : 20
Provider_License_Number_State_Code_13US State CodestringmaxLength : 2
Is_Healthcare_Provider_Primary_Taxonomy_13true-The taxonomy is the primary taxonomy(there can be only one per NPI record),false-The taxonomy is not the primary taxonomy, null–Not answeredboolean-
Healthcare_Provider_Taxonomy_Code_14Health Care Provider Taxonomy CodestringmaxLength : 10
Provider_License_Number_14License NumberstringmaxLength : 20
Provider_License_Number_State_Code_14US State CodestringmaxLength : 2
Is_Healthcare_Provider_Primary_Taxonomy_14true-The taxonomy is the primary taxonomy(there can be only one per NPI record),false-The taxonomy is not the primary taxonomy, null–Not answeredboolean-
Healthcare_Provider_Taxonomy_Code_15Health Care Provider Taxonomy CodestringmaxLength : 10
Provider_License_Number_15License NumberstringmaxLength : 20
Provider_License_Number_State_Code_15US State CodestringmaxLength : 2
Is_Healthcare_Provider_Primary_Taxonomy_15true-The taxonomy is the primary taxonomy(there can be only one per NPI record),false-The taxonomy is not the primary taxonomy, null–Not answeredboolean-
Other_Provider_Identifier_1Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_1The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_1US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_1Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_2Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_2The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_2US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_2Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_3Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_3The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_3US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_3Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_4Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_4The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_4US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_4Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_5Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_5The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_5US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_5Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_6Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_6The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_6US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_6Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_7Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_7The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_7US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_7Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_8Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_8The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_8US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_8Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_9Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_9The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_9US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_9Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_10Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_10The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_10US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_10Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_11Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_11The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_11US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_11Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_12Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_12The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_12US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_12Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_13Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_13The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_13US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_13Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_14Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_14The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_14US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_14Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_15Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_15The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_15US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_15Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_16Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_16The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_16US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_16Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_17Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_17The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_17US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_17Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_18Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_18The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_18US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_18Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_19Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_19The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_19US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_19Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_20Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_20The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_20US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_20Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_21Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_21The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_21US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_21Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_22Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_22The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_22US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_22Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_23Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_23The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_23US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_23Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_24Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_24The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_24US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_24Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_25Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_25The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_25US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_25Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_26Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_26The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_26US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_26Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_27Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_27The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_27US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_27Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_28Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_28The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_28US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_28Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_29Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_29The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_29US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_29Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_30Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_30The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_30US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_30Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_31Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_31The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_31US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_31Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_32Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_32The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_32US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_32Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_33Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_33The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_33US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_33Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_34Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_34The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_34US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_34Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_35Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_35The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_35US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_35Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_36Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_36The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_36US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_36Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_37Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_37The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_37US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_37Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_38Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_38The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_38US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_38Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_39Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_39The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_39US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_39Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_40Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_40The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_40US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_40Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_41Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_41The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_41US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_41Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_42Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_42The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_42US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_42Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_43Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_43The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_43US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_43Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_44Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_44The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_44US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_44Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_45Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_45The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_45US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_45Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_46Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_46The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_46US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_46Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_47Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_47The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_47US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_47Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_48Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_48The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_48US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_48Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_49Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_49The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_49US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_49Provider IdentifierstringmaxLength : 80
Other_Provider_Identifier_50Other provider identifierstringmaxLength : 20
Other_Provider_Identifier_Type_Description_50The name of the health plan that issued the Other Provider Identifierstring-
Other_Provider_Identifier_State_Code_50US State CodestringmaxLength : 2
Other_Provider_Identifier_Issuer_50Provider IdentifierstringmaxLength : 80
Is_Sole_ProprietorA sole proprietor is not an incorporated individual because the sole proprietor did not form a corporation. If an HCP is a sole practitioner or solo practitioner, it does not necessarily mean he or she is a sole proprietor, and vice versa.boolean-
Is_Organization_SubpartAn organization health care provider can get its subparts their own NPIs. If a subpart conducts any HIPAA standardboolean-
Parent_Organization_LBNProvider Organization Subpart Legal Business NamestringmaxLength : 70
Parent_Organization_TINProvider Organization Subpart TINstringmaxLength : 9
Authorized_Official_Name_Prefix_CodeName Prefix codesstringmaxLength : 5
Authorized_Official_Name_Suffix_CodeName Suffix codesstringmaxLength : 5
Authorized_Official_Credential_TextProvider Credential TextstringmaxLength : 20
Healthcare_Provider_Taxonomy_Group_Code_1Group Taxonomy Codes-Multi-Speciality Group,Single Speciality GroupstringmaxLength : 70
Healthcare_Provider_Taxonomy_Group_Code_2Group Taxonomy Codes-Multi-Speciality Group,Single Speciality GroupstringmaxLength : 70
Healthcare_Provider_Taxonomy_Group_Code_3Group Taxonomy Codes-Multi-Speciality Group,Single Speciality GroupstringmaxLength : 70
Healthcare_Provider_Taxonomy_Group_Code_4Group Taxonomy Codes-Multi-Speciality Group,Single Speciality GroupstringmaxLength : 70
Healthcare_Provider_Taxonomy_Group_Code_5Group Taxonomy Codes-Multi-Speciality Group,Single Speciality GroupstringmaxLength : 70
Healthcare_Provider_Taxonomy_Group_Code_6Group Taxonomy Codes-Multi-Speciality Group,Single Speciality GroupstringmaxLength : 70
Healthcare_Provider_Taxonomy_Group_Code_7Group Taxonomy Codes-Multi-Speciality Group,Single Speciality GroupstringmaxLength : 70
Healthcare_Provider_Taxonomy_Group_Code_8Group Taxonomy Codes-Multi-Speciality Group,Single Speciality GroupstringmaxLength : 70
Healthcare_Provider_Taxonomy_Group_Code_9Group Taxonomy Codes-Multi-Speciality Group,Single Speciality GroupstringmaxLength : 70
Healthcare_Provider_Taxonomy_Group_Code_10Group Taxonomy Codes-Multi-Speciality Group,Single Speciality GroupstringmaxLength : 70
Healthcare_Provider_Taxonomy_Group_Code_11Group Taxonomy Codes-Multi-Speciality Group,Single Speciality GroupstringmaxLength : 70
Healthcare_Provider_Taxonomy_Group_Code_12Group Taxonomy Codes-Multi-Speciality Group,Single Speciality GroupstringmaxLength : 70
Healthcare_Provider_Taxonomy_Group_Code_13Group Taxonomy Codes-Multi-Speciality Group,Single Speciality GroupstringmaxLength : 70
Healthcare_Provider_Taxonomy_Group_Code_14Group Taxonomy Codes-Multi-Speciality Group,Single Speciality GroupstringmaxLength : 70
Healthcare_Provider_Taxonomy_Group_Code_15Group Taxonomy Codes-Multi-Speciality Group, Single Speciality GroupstringmaxLength : 70
Certification_DateIndicates the date on which the provider certification completedstring-

Data Preview

NPIEntity TypeReplacement NPIEmployer Identification NumberProvider Organization NameProvider Last NameProvider First NameProvider Middle NameProvider Name Prefix CodeProvider Name Suffix CodeProvider Credential TextProvider Other Organization NameProvider Other Organization Name Type DescriptionProvider Other Last NameProvider Other First NameProvider Other Middle NameProvider Other Name Prefix CodeProvider Other Name Suffix CodeProvider Other Credential TextProvider Other Last Name Type DescriptionProvider Business Mailing Address First LineProvider Business Mailing Address Second LineProvider Business Mailing Address City NameProvider Business Mailing Address State NameProvider Business Mailing Address Postal CodeProvider Business Mailing Address Country CodeProvider Business Mailing Address Telephone NumberProvider Business Mailing Address Fax NumberProvider Business Practice Location Address First LineProvider Business Practice Location Address Second LineProvider Business Practice Location Address City NameProvider Business Practice Location Address State NameProvider Business Practice Location Address Postal CodeProvider Business Practice Location Address Country CodeProvider Business Practice Location Address Telephone NumberProvider Business Practice Location Address Fax NumberProvider Enumeration DateLast Update DateNPI Deactivation ReasonNPI Deactivation DateNPI Reactivation DateProvider Gender CodeAuthorized Official Last NameAuthorized Official First NameAuthorized Official Middle NameAuthorized Official Title or PositionAuthorized Official Telephone NumberHealthcare Provider Taxonomy Code 1Provider License Number 1Provider License Number State Code 1Is Healthcare Provider Primary Taxonomy 1Healthcare Provider Taxonomy Code 2Provider License Number 2Provider License Number State Code 2Is Healthcare Provider Primary Taxonomy 2Healthcare Provider Taxonomy Code 3Provider License Number 3Provider License Number State Code 3Is Healthcare Provider Primary Taxonomy 3Healthcare Provider Taxonomy Code 4Provider License Number 4Provider License Number State Code 4Is Healthcare Provider Primary Taxonomy 4Healthcare Provider Taxonomy Code 5Provider License Number 5Provider License Number State Code 5Is Healthcare Provider Primary Taxonomy 5Healthcare Provider Taxonomy Code 6Provider License Number 6Provider License Number State Code 6Is Healthcare Provider Primary Taxonomy 6Healthcare Provider Taxonomy Code 7Provider License Number 7Provider License Number State Code 7Is Healthcare Provider Primary Taxonomy 7Healthcare Provider Taxonomy Code 8Provider License Number 8Provider License Number State Code 8Is Healthcare Provider Primary Taxonomy 8Healthcare Provider Taxonomy Code 9Provider License Number 9Provider License Number State Code 9Is Healthcare Provider Primary Taxonomy 9Healthcare Provider Taxonomy Code 10Provider License Number 10Provider License Number State Code 10Is Healthcare Provider Primary Taxonomy 10Healthcare Provider Taxonomy Code 11Provider License Number 11Provider License Number State Code 11Is Healthcare Provider Primary Taxonomy 11Healthcare Provider Taxonomy Code 12Provider License Number 12Provider License Number State Code 12Is Healthcare Provider Primary Taxonomy 12Healthcare Provider Taxonomy Code 13Provider License Number 13Provider License Number State Code 13Is Healthcare Provider Primary Taxonomy 13Healthcare Provider Taxonomy Code 14Provider License Number 14Provider License Number State Code 14Is Healthcare Provider Primary Taxonomy 14Healthcare Provider Taxonomy Code 15Provider License Number 15Provider License Number State Code 15Is Healthcare Provider Primary Taxonomy 15Other Provider Identifier 1Other Provider Identifier Type Description 1Other Provider Identifier State Code 1Other Provider Identifier Issuer 1Other Provider Identifier 2Other Provider Identifier Type Description 2Other Provider Identifier State Code 2Other Provider Identifier Issuer 2Other Provider Identifier 3Other Provider Identifier Type Description 3Other Provider Identifier State Code 3Other Provider Identifier Issuer 3Other Provider Identifier 4Other Provider Identifier Type Description 4Other Provider Identifier State Code 4Other Provider Identifier Issuer 4Other Provider Identifier 5Other Provider Identifier Type Description 5Other Provider Identifier State Code 5Other Provider Identifier Issuer 5Other Provider Identifier 6Other Provider Identifier Type Description 6Other Provider Identifier State Code 6Other Provider Identifier Issuer 6Other Provider Identifier 7Other Provider Identifier Type Description 7Other Provider Identifier State Code 7Other Provider Identifier Issuer 7Other Provider Identifier 8Other Provider Identifier Type Description 8Other Provider Identifier State Code 8Other Provider Identifier Issuer 8Other Provider Identifier 9Other Provider Identifier Type Description 9Other Provider Identifier State Code 9Other Provider Identifier Issuer 9Other Provider Identifier 10Other Provider Identifier Type Description 10Other Provider Identifier State Code 10Other Provider Identifier Issuer 10Other Provider Identifier 11Other Provider Identifier Type Description 11Other Provider Identifier State Code 11Other Provider Identifier Issuer 11Other Provider Identifier 12Other Provider Identifier Type Description 12Other Provider Identifier State Code 12Other Provider Identifier Issuer 12Other Provider Identifier 13Other Provider Identifier Type Description 13Other Provider Identifier State Code 13Other Provider Identifier Issuer 13Other Provider Identifier 14Other Provider Identifier Type Description 14Other Provider Identifier State Code 14Other Provider Identifier Issuer 14Other Provider Identifier 15Other Provider Identifier Type Description 15Other Provider Identifier State Code 15Other Provider Identifier Issuer 15Other Provider Identifier 16Other Provider Identifier Type Description 16Other Provider Identifier State Code 16Other Provider Identifier Issuer 16Other Provider Identifier 17Other Provider Identifier Type Description 17Other Provider Identifier State Code 17Other Provider Identifier Issuer 17Other Provider Identifier 18Other Provider Identifier Type Description 18Other Provider Identifier State Code 18Other Provider Identifier Issuer 18Other Provider Identifier 19Other Provider Identifier Type Description 19Other Provider Identifier State Code 19Other Provider Identifier Issuer 19Other Provider Identifier 20Other Provider Identifier Type Description 20Other Provider Identifier State Code 20Other Provider Identifier Issuer 20Other Provider Identifier 21Other Provider Identifier Type Description 21Other Provider Identifier State Code 21Other Provider Identifier Issuer 21Other Provider Identifier 22Other Provider Identifier Type Description 22Other Provider Identifier State Code 22Other Provider Identifier Issuer 22Other Provider Identifier 23Other Provider Identifier Type Description 23Other Provider Identifier State Code 23Other Provider Identifier Issuer 23Other Provider Identifier 24Other Provider Identifier Type Description 24Other Provider Identifier State Code 24Other Provider Identifier Issuer 24Other Provider Identifier 25Other Provider Identifier Type Description 25Other Provider Identifier State Code 25Other Provider Identifier Issuer 25Other Provider Identifier 26Other Provider Identifier Type Description 26Other Provider Identifier State Code 26Other Provider Identifier Issuer 26Other Provider Identifier 27Other Provider Identifier Type Description 27Other Provider Identifier State Code 27Other Provider Identifier Issuer 27Other Provider Identifier 28Other Provider Identifier Type Description 28Other Provider Identifier State Code 28Other Provider Identifier Issuer 28Other Provider Identifier 29Other Provider Identifier Type Description 29Other Provider Identifier State Code 29Other Provider Identifier Issuer 29Other Provider Identifier 30Other Provider Identifier Type Description 30Other Provider Identifier State Code 30Other Provider Identifier Issuer 30Other Provider Identifier 31Other Provider Identifier Type Description 31Other Provider Identifier State Code 31Other Provider Identifier Issuer 31Other Provider Identifier 32Other Provider Identifier Type Description 32Other Provider Identifier State Code 32Other Provider Identifier Issuer 32Other Provider Identifier 33Other Provider Identifier Type Description 33Other Provider Identifier State Code 33Other Provider Identifier Issuer 33Other Provider Identifier 34Other Provider Identifier Type Description 34Other Provider Identifier State Code 34Other Provider Identifier Issuer 34Other Provider Identifier 35Other Provider Identifier Type Description 35Other Provider Identifier State Code 35Other Provider Identifier Issuer 35Other Provider Identifier 36Other Provider Identifier Type Description 36Other Provider Identifier State Code 36Other Provider Identifier Issuer 36Other Provider Identifier 37Other Provider Identifier Type Description 37Other Provider Identifier State Code 37Other Provider Identifier Issuer 37Other Provider Identifier 38Other Provider Identifier Type Description 38Other Provider Identifier State Code 38Other Provider Identifier Issuer 38Other Provider Identifier 39Other Provider Identifier Type Description 39Other Provider Identifier State Code 39Other Provider Identifier Issuer 39Other Provider Identifier 40Other Provider Identifier Type Description 40Other Provider Identifier State Code 40Other Provider Identifier Issuer 40Other Provider Identifier 41Other Provider Identifier Type Description 41Other Provider Identifier State Code 41Other Provider Identifier Issuer 41Other Provider Identifier 42Other Provider Identifier Type Description 42Other Provider Identifier State Code 42Other Provider Identifier Issuer 42Other Provider Identifier 43Other Provider Identifier Type Description 43Other Provider Identifier State Code 43Other Provider Identifier Issuer 43Other Provider Identifier 44Other Provider Identifier Type Description 44Other Provider Identifier State Code 44Other Provider Identifier Issuer 44Other Provider Identifier 45Other Provider Identifier Type Description 45Other Provider Identifier State Code 45Other Provider Identifier Issuer 45Other Provider Identifier 46Other Provider Identifier Type Description 46Other Provider Identifier State Code 46Other Provider Identifier Issuer 46Other Provider Identifier 47Other Provider Identifier Type Description 47Other Provider Identifier State Code 47Other Provider Identifier Issuer 47Other Provider Identifier 48Other Provider Identifier Type Description 48Other Provider Identifier State Code 48Other Provider Identifier Issuer 48Other Provider Identifier 49Other Provider Identifier Type Description 49Other Provider Identifier State Code 49Other Provider Identifier Issuer 49Other Provider Identifier 50Other Provider Identifier Type Description 50Other Provider Identifier State Code 50Other Provider Identifier Issuer 50Is Sole ProprietorIs Organization SubpartParent Organization LBNParent Organization TINAuthorized Official Name Prefix CodeAuthorized Official Name Suffix CodeAuthorized Official Credential TextHealthcare Provider Taxonomy Group Code 1Healthcare Provider Taxonomy Group Code 2Healthcare Provider Taxonomy Group Code 3Healthcare Provider Taxonomy Group Code 4Healthcare Provider Taxonomy Group Code 5Healthcare Provider Taxonomy Group Code 6Healthcare Provider Taxonomy Group Code 7Healthcare Provider Taxonomy Group Code 8Healthcare Provider Taxonomy Group Code 9Healthcare Provider Taxonomy Group Code 10Healthcare Provider Taxonomy Group Code 11Healthcare Provider Taxonomy Group Code 12Healthcare Provider Taxonomy Group Code 13Healthcare Provider Taxonomy Group Code 14Healthcare Provider Taxonomy Group Code 15Certification Date
1679576722IndividualWIEBEDAVIDAM.D.PO BOX 2168KEARNEYNE688482168.0US3088652512.03088652506.03500 CENTRAL AVEKEARNEYNE688472944.0US3088652512.03088652506.02005-05-232007-07-08Male207X00000X12637NETrue46969OTHERKSBCBS1553OTHERNEBCBS645540OTHERKSFIRSTGUARD
1588667638IndividualPILCHERWILLIAMCDR.MD1824 KING STREETSUITE 300JACKSONVILLEFL322044736.0US9043881820.09043881827.01824 KING STREETSUITE 300JACKSONVILLEFL322044736.0US9043881820.09043881827.02005-05-232014-05-29Male207RC0000XME68414FLTrue207RC0000X032024GAFalse0897705OTHERFLAETNA510265OTHERGABCBS00532485CMEDICAIDsGA208143.0OTHERFLAVMED251286600.0MEDICAIDsFL27888.0OTHERFLBCBS00706626AMEDICAIDsGAFalse
1497758544Organization<UNAVAIL>CUMBERLAND COUNTY HOSPITAL SYSTEM, INCCAPE FEAR VALLEY HOME HEALTH AND HOSPICEDoing business As3418 VILLAGE DRFAYETTEVILLENC283044552.0US9106096740.03418 VILLAGE DRFAYETTEVILLENC283044552.0US9106096740.02005-05-232011-09-26NAGOWSKIMICHAELCEO9106096700.0251G00000XHC0283NCTrue3401562MEDICAIDsNCFalseMR.
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1215930367IndividualGRESSOTLAURENTDR.M.D.17323 RED OAK DRHOUSTONTX770901243.0US2814405006.02814406149.017323 RED OAK DRHOUSTONTX770901243.0US2814405006.02814406149.02005-05-232014-11-25Male174400000XH6257TXFalse207RH0003XH6257TXTrueFalse
1023011178Organization<UNAVAIL>COLLABRIA CARENAPA VALLEY HOSPICE & ADULT DAY SERVICESFormer Legal Business Name414 S JEFFERSON STNAPACA945594515.0US7072589080.07072582476.0414 S JEFFERSON STNAPACA945594515.0US7072589080.07072582476.02005-05-232020-06-09ANDERSONDONALDWAYNEASSISTANT SECRETARY OF ENROLLMENT4255255392.0251G00000X100000741CATrueHPC01537GMEDICAIDsCAFalseJR.06/09/2020
1932102084IndividualADUSUMILLIRAVIKMD2940 N MCCORD RDTOLEDOOH436151753.0US4198423000.04198423048.02940 N MCCORD RDTOLEDOOH436151753.0US4198423000.04198423048.02005-05-232012-04-23Male207RC0000X35069014OHTrue207RC0000X4301081344MIFalse0178623MEDICAIDsOHP00751116OTHERRAILROAD MEDICAREFalse
1841293990IndividualWORTSMANSUSANMA-CCC68 ROCKLEDGE RDAPT 1CHARTSDALENY105303455.0US2124814464.0425 E 25TH STNEW YORKNY100102547.0US2124814464.02005-05-232007-07-08Female231H00000X000396-1NYTrueFalse
1750384806IndividualBISBEEROBERTDR.MD5219 CITY BANK PKWY STE 214LUBBOCKTX794073537.0US8067810360.08067820097.0808 JOLIET AVE UNIT 120LUBBOCKTX794151148.0US8067610540.08067610451.02005-05-232017-03-10Male207R00000XJ8461TXTrueFalse
1669475711IndividualSUNGBINSHENGM. D.600 JEFFERSON ST STE 301LAFAYETTELA705016987.0US2813460018.02813460913.07629 TIKI DRFULSHEARTX774411548.0US2813460018.02813460913.02005-05-232020-03-01Female208000000XJ1405TXTrue1270548MEDICAIDsTXTrue03/01/2020