00305
Ordering Provider's DEA Number
Components: <ID number (ST)> ^ <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)> ^ <source table (IS)> ^ <assigning authority (HD)> ^ <name type code(ID)> ^ <identifier check digit (ST)> ^ <code identifying the check digit scheme employed (ID )> ^ <identifier type code (IS)> ^ <assigning facility (HD)>
Subcomponents of assigning authority: <namespace ID (IS)> & <universal ID (ST)> & <universal ID type (ID)
Length≤60
9 components
| 1 | O | - | ID number (ST) | |
| 2 | O | - | family name | |
| 3 | O | - | given name | |
| 4 | O | - | middle initial or name | |
| 5 | O | - | suffix (e.g., JR or III) | |
| 6 | O | - | prefix (e.g., DR) | |
| 7 | O | - | degree (e.g., MD) | |
| 8 | O | - | source table | |
| 9 | O | - | assigning authority |