00690

Practitioner ID Numbers

2001-04-02
Components: <ID number (ST)> ^ <type of ID number (IS)> ^ <state/other qualifying info (ST)> ^ <expiration date>

Definition: This repeating field contains this practitioner's license numbers and other ID numbers. This is a field made up of the following components: (1) the ID number, and (2) the type of number, and optionally (3) the state or province in which it is valid, if relevant, or other qualifying information. It is recommended that state qualifications use the abbreviations from the postal service of the country. The practitioner ID number type (component 2) is a user-defined table (Table 0338).

Length≤100
11 values
CYCounty number
DEADrug Enforcement Agency no.
GLGeneral ledger number
L&ILabor and industries number
MCDMedicaid number
MCRMedicare number
QAQA number
SLState license number
TAXTax ID number
TRLTraining license number
UPINUnique physician ID no.
4 components
1O-ID number (ST)
2O-type of ID number (IS)
3O-state/other qualifying info
4O-expiration date