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Provider Specialty Type of Practice Codes

PHYSICIAN CODES01 General Practice94 Interventional Medicine02 General Surgery98 Gynecology Oncology03 Allergy/Immunology99 Unknown Physician Specialty04 Otolaryngology05 AnesthesiologyNON-PHYSICIAN Provider CODES06 Cardiology42 Certified Nurse Midwife07 Dermatology43 Certified Registered Nurse Anesthesiologist 08 Family Practice (CRNA), Anesthesia Assistant10 Gastroenterology49 Ambulatory Surgical Center (formerly 11 Internal MedicineMiscellaneous) 12 Osteopathic Manipulative Therapy50 Nurse Practitioner13 Neurology62 Independently-Billing Psychologist14 Neurosurgery64 Independently-Billing Audiologist16 Obstetrics/Gynecology65 Independently-Practicing Physical Therapist18 Opthamology67 Occupational Therapist - Private Practice19 Oral surgery (Dentist Only)68 Clinical Psychologist20 Orthopedic Surgery80 Licensed Clinical Social Worker22 Pathology88 Unknown Supplier/Provider24 Plastic and Reconstructive Surgery89 Certified Clinical Nurse Specialist25 Physical Medicine and Rehabilitation96 Optician26 Psychiatry97 Physician Assistant28 Colorectal surgery (formerly Proctology)29 Pulmonary DiseaseSUPPLIER CODES30 Diagnostic Radiology45 Mammography Screening Center33 Thoracic Surgery47 I

PHYSICIAN CODES 01 General Practice 94 Interventional Medicine 02 General Surgery 98 Gynecology Oncology 03 Allergy/Immunology 99 Unknown Physician Specialty

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