00305

Ordering Provider's DEA Number

2007-10-26
Definition: This field identifies the provider's controlled substance number, if required, by site. It is defined as conditional because it is required when the substance being requested is a controlled substance (e.g., a narcotic).
Length≤250
23 components
1O-ID Number
2O-Family Name
3O-Given Name
4O-Second and Further Given Names or Initials Thereof
5O-Suffix (e.g., JR or III)
6O-Prefix (e.g., DR)
7BDegree (e.g., MD)
8CSource Table
9OAssigning Authority
10OName Type Code
11O-Identifier Check Digit
12CCheck Digit Scheme
13OIdentifier Type Code
14O-Assigning Facility
15OName Representation Code
16OName Context
17B-Name Validity Range
18OName Assembly Order
19O-Effective Date
20O-Expiration Date
21O-Professional Suffix
22O-Assigning Jurisdiction
23O-Assigning Agency or Department