01156

Provider Name

2003-08-22
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-7-Provider identifiers for the physician identifier.
Length≤250
14 components
1O-Family Name
2O-Given Name
3O-Second and Further Given Names or Initials Thereof
4O-Suffix (e.g., JR or III)
5O-Prefix (e.g., DR)
6BDegree (e.g., MD)
7OName Type Code
8OName Representation Code
9OName Context
10B-Name Validity Range
11OName Assembly Order
12O-Effective Date
13O-Expiration Date
14O-Professional Suffix