01156
Provider Name
1997-10-24
Components: <family name (ST)> ^ <given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <name type code (ID)>
Definition: This field contains the name of the provider identified in this segment. Generally, this field will describe a physician associated with the referral. However, it is not limited to physicians. This field may contain the name of any valid healthcare provider associated with this referral. If this Provider Name is a physician's name, you may refer to PRD-1-provider identifiers (Section 11.5.3.7) for the physician identifier.
Length≤106
8 components
| 1 | O | - | family name | |
| 2 | O | - | given name | |
| 3 | O | - | middle initial or name | |
| 4 | O | - | suffix (e.g., JR or III) | |
| 5 | O | - | prefix (e.g., DR) | |
| 6 | O | - | degree (e.g., MD) | |
| 7 | O | - | name type code | |
| 8 | O | - | Name Representation code |