|
Provider Type |
Provider Specialty |
Taxonomy Code |
Taxonomy Description |
| Ambulance |
Air Ambulance |
3416A0800X |
Air Transport |
| Ambulance |
Land Ambulance |
3416L0300X |
Land Transport |
| Ambulance |
Water Ambulance |
3416S0300X |
Water Transport |
| Ambulatory Surgical Center (ASC) |
N/A |
261QA1903X |
Ambulatory Surgical |
| Anesthetist |
Anesthesiologist Assistant |
367H00000X |
Anesthesiologist Assistant |
| Anesthetist |
- Certified Registered Nurse Anesthetist (CRNA)
- CRNA group
|
367500000X |
Nurse Anesthetist, Certified Registered |
| Audiologist |
- Audiologist
- Audiology group
|
231H00000X |
Audiologist |
| Case Management |
All |
251B00000X |
Case Management |
| Chiropractor |
- Chiropractor
- Chiropractic Group
|
111N00000X |
Chiropractor |
| Community Support Program (CSP) |
All |
251S00000X |
Community/Behavioral Health |
| Comprehensive Community Services (CCS) |
All |
251S00000X |
Community/Behavioral Health |
| Crisis Intervention |
All |
251S00000X |
Community/Behavioral Health |
| Day Treatment |
- Adult Mental Health
- Substance Abuse
|
261Q00000X |
Clinic/Center |
| Day Treatment |
Child Adolescent |
261QM0855X |
Adolescent and Children Mental Health |
| Dentist |
Endodontics |
1223E0200X |
Endodontics |
| Dentist |
General Practice |
1223G0001X |
General Practice |
| Dentist |
Oral Pathology |
1223P0106X |
Oral and Maxillofacial Pathology |
| Dentist |
Oral Surgery |
1223S0112X |
Oral and Maxillofacial Surgery |
| Dentist |
Orthodontics |
1223X0400X |
Orthodontics and Dentofacial Orthopedics |
| Dentist |
Pediatric Dentist |
1223P0221X |
Pediatric Dentistry |
| Dentist |
Periodontics |
1223P0300X |
Periodontics |
| Dentist |
Prosthodontics |
1223P0700X |
Prosthodontics |
| Dental Group |
N/A |
261QD0000X |
Dental |
| Dental Hygienist |
N/A |
124Q00000X |
Dental Hygienist |
| End Stage Renal Disease (ESRD) |
All |
261QE0700X |
End-Stage Renal Disease Treatment (ESRD) |
| Facility for the Developmentally Disabled (FDD) |
All |
315P00000X |
Intermediate Care Facility |
| Family Planning Clinic |
All |
261QF0050X |
Family Planning, Non-Surgical |
| Federally Qualified Health Clinic (FQHC) |
N/A |
261QF0400X |
Federally Qualified Health Center (FQHC) |
| HealthCheck |
All |
261QP2300X |
Clinic Center/Primary |
| HealthCheck Other Services |
N/A |
261QH0100X |
Health Service |
| Hearing Instrument Specialist |
- Hearing Instrument Specialist
- Hearing Instrument Specialist Group
|
237700000X |
Hearing Instrument Specialist |
| Home Health/Personal Care Agency |
- Home Health Only Provider
- Home Health/Personal care Dually Certified Provider
|
251E00000X |
Home Health |
| Hospice |
All |
251G00000X |
Hospice Care, Community Based |
| Hospital |
Inpatient/Outpatient Hospital |
282N00000X |
General Acute Care Hospital |
| Independent Lab |
Independent Lab |
291U00000X |
Clinical Medical Laboratory |
| Individual Medical Supply |
Federally Qualified Health Center (FQHC) |
332B00000X |
Durable Medical Equipment & Medical Supplies |
| Individual Medical Supply |
- Orthotist
- Orthotist/Prosthetist
|
222Z00000X |
Orthotist |
| Individual Medical Supply |
Prosthetist |
224P00000X |
Prosthetic |
| Individual Medical Supply |
Specialties other than Federally Qualified Health Center (FQHC),
Orthotist, Prosthetist, and Orthotist/Prosthetist |
335E00000X |
Prosthetic Orthotic Supplier |
| Institution for Mental Disease |
All |
283Q00000X |
Psychiatric Hospital |
| Medical Vendor |
Federally Qualified Health Center (FQHC) |
261QF0400X |
Federally Qualified Health Center (FQHC) |
| Medical Vendor |
Medical Equipment/Supplies |
332B00000X |
Durable Medical Equipment & Medical Supplies |
| Mental Health and Substance Abuse Agency |
All |
261QM0801X |
Mental Health, including Community Mental Health |
| Mental Health and Substance Abuse Services Provided by
Individuals |
Advanced Practice Nurse Prescriber |
363LP0808X |
Psychiatric/Mental Health |
| Mental Health and Substance Abuse Services Provided by
Individuals |
Alcohol and Other Drug Abuse Counselor |
101YA0400X |
Addiction (Substance Use Disorder) |
| Mental Health and Substance Abuse Services Provided by
Individuals |
- Licensed Psychologist (PhD)
- Licensed Psychologist (PhD) Group
|
103T00000X |
Psychologist |
| Mental Health and Substance Abuse Services Provided by
Individuals |
- Master’s-Level Psychotherapist
- Master’s-Level Psychotherapist/Alcohol and Other Substance Abuse
Counselor
|
104100000X |
Social Worker |
| Mental Health and Substance Abuse Services Provided by
Individuals |
Psychiatric Nurse |
163WP0808X |
Psychiatric/Mental Health (RN) |
| Narcotic Treatment Service |
Licensed Practical Nurse |
164W000000X |
Licensed Practical Nurse (LPN) |
| Narcotic Treatment Service |
Registered Alcohol and Drug Counselor (RADC)/Narcotic
Treatment Service (RTS) |
101YA0400X |
Addiction (Substance Use Disorder) |
| Narcotic Treatment Service |
Registered Nurse |
163WA0400X |
Addiction (Substance Use Disorder) |
| Narcotic Treatment Service Agency |
N/A |
261QM2800X |
Methadone |
| Nurse Practitioner |
Certified Family Nurse Practitioner |
363LF0000X |
Family |
| Nurse Practitioner |
Certified Pediatric Nurse Practitioner |
363LP0200X |
Pediatrics |
| Nurse Practitioner |
Nurse Practitioner/Nurse Midwife |
367A00000X |
Midwife, Certified Nurse |
| Nurse Practitioner |
- Specialties other than Pediatric Nurse Practitioner, Family Nurse
Practitioner, Nurse Practitioner/Nurse Midwife
- Group
|
363L00000X |
Nurse Practitioner |
| Nurses in Independent Practice |
Licensed Practical Nurse (LPN) |
164W00000X |
Licensed Practical Nurse (LPN) |
| Nurses in Independent Practice |
Registered Nurse (RN) |
163W00000X |
Registered Nurse (RN) |
| Nurse Midwife |
N/A |
176B00000X |
Midwife, Certified |
| Nursing Facility |
N/A |
314000000X |
Skilled Nursing Facility |
| Occupational Therapy |
- Occupational Therapist
- Occupational Therapy Group
|
225X00000X |
Occupational Therapist |
| Occupational Therapy |
Occupational Therapy Assistant |
224Z00000X |
Occupational Therapy Assistant |
| Optician |
Optician |
156FX1800X |
Optician |
| Optometry |
- Optometrist
- Optometry Group
|
152W00000X |
Optometrist |
| Pharmacy |
Pharmacy |
333600000X |
Pharmacy |
| Physical Therapy |
Group |
261QP2000X |
Physical Therapy |
| Physical Therapy |
Physical Therapist |
225100000X |
Physical Therapist |
| Physical Therapy |
Physical Therapy Assistant |
225200000X |
Physical Therapy Assistant |
| Physician Clinic |
Multi-Specialty |
193200000X |
Multi-Specialty |
| Physician and Physician Specialty Clinic |
Allergy & Immunology |
207K00000X |
Allergy & Immunology |
| Physician and Physician Specialty Clinic |
Anesthesiology |
207L00000X |
Anesthesiology |
| Physician and Physician Specialty Clinic |
Cardiovascular Disease |
207RC0000X |
Cardiovascular Disease |
| Physician and Physician Specialty Clinic |
Dermatology |
207N00000X |
Dermatology |
| Physician and Physician Specialty Clinic |
Emergency Medicine |
207P00000X |
Emergency Medicine |
| Physician and Physician Specialty Clinic |
Family Practice |
207Q00000X |
Family Practice |
| Physician and Physician Specialty Clinic |
Gastroenterology |
207RG0100X |
Gastroenterology |
| Physician and Physician Specialty Clinic |
General Practice |
208D00000X |
General Practice |
| Physician and Physician Specialty Clinic |
General Surgery |
208600000X |
Surgery |
| Physician and Physician Specialty Clinic |
Geriatrics |
207QG0300X |
Geriatric Medicine |
| Physician and Physician Specialty Clinic |
Internal Medicine |
207R00000X |
Internal Medicine |
| Physician and Physician Specialty Clinic |
Manipulative Therapy |
208D00000X |
General Practice |
| Physician and Physician Specialty Clinic |
Miscellaneous |
208D00000X |
General Practice |
| Physician and Physician Specialty Clinic |
Nephrology |
207RN0300X |
Nephrology |
| Physician and Physician Specialty Clinic |
Neurological Surgery |
207T00000X |
Neurological Surgery |
| Physician and Physician Specialty Clinic |
Neurology |
2084N0400X |
Neurology |
| Physician and Physician Specialty Clinic |
Nuclear Medicine |
207U00000X |
Nuclear Medicine |
| Physician and Physician Specialty Clinic |
Obstetrics and Gynecology |
207V00000X |
Obstetrics and Gynecology |
| Physician and Physician Specialty Clinic |
Oncology and Hematology |
207RH0003X |
Hematology & Oncology |
| Physician and Physician Specialty Clinic |
Ophthalmology |
207W00000X |
Ophthalmology |
| Physician and Physician Specialty Clinic |
Orthopedic Surgery |
207X00000X |
Orthopedic Surgery |
| Physician and Physician Specialty Clinic |
Otolaryngology |
207Y00000X |
Otolaryngology |
| Physician and Physician Specialty Clinic |
Pathology |
207ZC0500X |
Pathologist |
| Physician and Physician Specialty Clinic |
- Pediatrician
- Pediatric Allergy
- Pediatric Cardiology
|
208000000X |
Pediatrics |
| Physician and Physician Specialty Clinic |
Physical Medicine and Rehab |
208100000X |
Physical Medicine & Rehabilitation |
| Physician and Physician Specialty Clinic |
Plastic Surgery |
208200000X |
Plastic Surgery |
| Physician and Physician Specialty Clinic |
Preventative Medicine |
2083P0901X |
Public Health and General Preventative Medicine |
| Physician and Physician Specialty Clinic |
Proctology |
208C00000X |
Colon and Rectal Surgery |
| Physician and Physician Specialty Clinic |
Psychiatry |
2084P0800X |
Psychiatry |
| Physician and Physician Specialty Clinic |
Pulmonary Disease |
207RP1001X |
Pulmonary Disease |
| Physician and Physician Specialty Clinic |
Radiation Therapy |
2085R0202X |
Diagnostic Radiology |
| Physician and Physician Specialty Clinic |
Radiology |
2085R0202X |
Diagnostic Radiology |
| Physician and Physician Specialty Clinic |
Thoracic and Cardiovascular Surgery |
208G00000X |
Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Physician and Physician Specialty Clinic |
Urgent Care |
208D00000X |
General Practice |
| Physician and Physician Specialty Clinic |
Urology |
208800000X |
Urology |
| Physician Assistant |
N/A |
363A00000X |
Physician Assistant |
| Podiatry |
- Podiatrist
- Podiatry Group
|
213E00000X |
Podiatrist |
| Portable X-Ray |
N/A |
261QR0208X |
Radiology Mobile |
| Prenatal Care Coordination |
All |
251B00000X |
Case Management |
| Rehabilitation Agency |
All |
261QR0400X |
Rehabilitation |
| Rural Health Clinic |
All |
261QR1300X |
Rural Health |
| School Based Services |
All |
251300000X |
Local Education Agency (LEA) |
| Speech & Hearing Clinic |
N/A |
261QH0700X |
Hearing and Speech |
| Speech Language Pathology (SLP) |
Speech Language Pathology (SLP)- Bachelor ‘s Level |
2355S0801X |
Speech-Language Assistant |
| Speech Language Pathology (SLP) |
Speech Language Pathology (SLP) - Master’s Level |
235Z00000X |
Speech-Language Pathologist |
| Speech Language Pathology (SLP) Clinic |
N/A |
235Z00000X |
Speech-Language Pathologist |
| Therapy Group |
Group |
261QR0400X |
Rehabilitation |
