01156
Provider Name
2013-03-10
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. If the provider is an organization then PRD-10 - Provider Organization Name and Identifier will be used. 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.
LengthNot specified
15 components
| 1 | RE | - | Family Name | |
| 2 | O | - | Given Name | |
| 3 | O | - | Second and Further Given Names or Initials Thereof | |
| 4 | O | - | Suffix (e.g., JR or III) | |
| 5 | O | - | Prefix (e.g., DR) | |
| 6 | W | - | Degree (e.g., MD) | |
| 7 | O | Name Type Code | ||
| 8 | O | Name Representation Code | ||
| 9 | O | Name Context | ||
| 10 | W | - | Name Validity Range | |
| 11 | O | Name Assembly Order | ||
| 12 | O | - | Effective Date | |
| 13 | O | - | Expiration Date | |
| 14 | O | - | Professional Suffix | |
| 15 | O | - | Called By |