01Relates to the patient
reference data (no patient link)
Single-patient export: included in full (reference data).
02References
MEDICAID_SPECIALTY_CODE→V_MM_SPECIALTY.MEDICAID_SPECIALTY_CODEPROVIDER_CLASS→REF_PROV_CLASSES.PROVIDER_CLASSLICENSE_TYPE→V_MM_LICENSE_TYPE.LICENSE_TYPETAXONOMY_CODE→TAXONOMY_CODES.TAXONOMY_CODE
03Columns
| # | Column | Type | Source type | Null | Notes |
|---|---|---|---|---|---|
| 1 | REF_PROV_CODE PK | string | varchar(20) | no | |
| 2 | LAST_NAME | string | varchar(35) | yes | |
| 3 | FIRST_NAME | string | varchar(25) | yes | |
| 4 | MI | string | char(1) | yes | |
| 5 | NAME_PREFIX | string | varchar(8) | yes | |
| 6 | NAME_SUFFIX | string | varchar(8) | yes | |
| 7 | ADDR1 | string | varchar(55) | yes | |
| 8 | ADDR2 | string | varchar(55) | yes | |
| 9 | CITY | string | varchar(30) | yes | |
| 10 | STATE | string | varchar(2) | yes | |
| 11 | ZIP | string | varchar(10) | yes | |
| 12 | COUNTRY_CODE | string | varchar(2) | yes | |
| 13 | string | varchar(254) | yes | ||
| 14 | SPECIALTY_CODE | string | varchar(3) | yes | |
| 15 | MEDICAID_SPECIALTY_CODE | string | varchar(3) | yes | |
| 16 | UPIN_ID | string | varchar(6) | yes | |
| 17 | PROVIDER_CLASS | string | varchar(15) | yes | |
| 18 | NPID | string | varchar(18) | yes | |
| 19 | DEGREE | string | varchar(15) | yes | |
| 20 | LICENSE_TYPE | string | varchar(3) | yes | |
| 21 | PROV_ACTIVE | string | char(1) | yes | |
| 22 | TAXONOMY_CODE | string | varchar(10) | yes | |
| 23 | EIN | string | varchar(10) | yes | |
| 24 | PERSON | string | char(1) | yes | |
| 25 | NAME_TYPE_CODE | string | varchar(1) | yes | |
| 26 | DIRECT_EMAIL | string | varchar(254) | yes |