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Health Care Provider Taxonomy Code Set Change Log: Last Update July 1, 2008
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Modifications
Changes made on 7/1/2008

208U00000X
 
Under the Allopathic & Osteopathic Physicians Type a definition was added for the Clinical Pharmacology Classification:

Clinical pharmacology encompasses the spectrum of activities related to the discovery, development, regulation, and utilization of safe and effective drugs.
Source: American Society for Clinical Pharmacology and Therapeutics, 2008

Additional Resources:
Clinical pharmacology is a recognized fellowship program for physicians, pharmacists, and post-doctoral researchers delivered through medical education institutions accredited by the American Board of Clinical Pharmacology. http://www.ascpt.org/; American Board of Clinical Pharmacology http://www.abcp.net/

207PE0005X
 
Under the Allopathic & Osteopathic Physicians Type, Emergency Medicine Classification a source for the definition was added for the Undersea & Hyperbaric Medicine Specialization:

Undersea & Hyperbaric Medicine Physician: a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Source: American Board of Emergency Medicine

Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org

207RA0401X
 
Under the Allopathic & Osteopathic Physicians Type, Internal Medicine Classification, a definition was added for the Addiction Medicine Specialization:

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Source: American Osteopathic Board of Internal Medicine, 2007.

Additional Resources: https://www.do-online.org/index.cfm?PageID=edu_main&au=D&SubSubPageID=crt_speclist&SubPageID=crt_main

207RA0201X
 
Under the Allopathic & Osteopathic Physicians Type, Internal Medicine Classification, a definition was added for the Allergy & Immunology Specialization:

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Source: American Osteopathic Board of Internal Medicine, 2007.

Additional Resources: https://www.do-online.org/index.cfm?PageID=edu_main&au=D&SubSubPageID=crt_speclist&SubPageID=crt_main

207RC0000X
 
Under the Allopathic & Osteopathic Physicians Type, Internal Medicine Classification, a definition was added for the Cardiovascular Disease Specialization:

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Source: American Osteopathic Board of Internal Medicine, 2008.

Additional Resources: Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy is provided by the American Osteopathic Board of Internal Medicine.

American Board of Medical Specialties, www.abms.org; American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.do-online.org/index.cfm?PageID=edu_main&au=D&SubSubPageID=crt_speclist&SubPageID=crt_main

207RH0003X
 
Under the Allopathic & Osteopathic Physicians Type, Internal Medicine Classification, a definition was added for the Hematology & Oncology Specialization:

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Source: American Osteopathic Board of Internal Medicine, 2007.

Additional Resources: https://www.do-online.org/index.cfm?PageID=edu_main&au=D&SubSubPageID=crt_speclist&SubPageID=crt_main

2080P0006X
 
Under the Allopathic & Osteopathic Physicians Type, Pediatrics Classification, the definition was corrected in March of 2008 for the Developmental – Behavioral Pediatrics Specialization:

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Source: American Board of Medical Specialties, 2007. www.abms.org

Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/.

Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

2080P0008X
 
Under the Allopathic & Osteopathic Physicians Type, Pediatrics Classification, the following information was removed from the Additional Resources section for the Neurodevelopmental Disabilities Specialization:

A subspecialty certificate for MGG was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

2085B0100X
 
Under the Allopathic & Osteopathic Physicians Type, Radiology Classification, a definition was added for the Body Imaging Specialization:

A Radiology doctor of Osteopathy that specializes in Body Imaging.
Source: National Uniform Claim Committee, 2008

Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty.

2085U0001X
 
Under the Allopathic & Osteopathic Physicians Type, Radiology Classification, a definition was added for the Diagnostic Ultrasound Specialization:

A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
Source: National Uniform Claim Committee, 2008

Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.]

103TH0004X
 
Under the Behavioral Health & Social Service Providers Type, Psychologist Classification, a definition was added for the Health Psychologist Specialization:

The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care.
Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008.

367A00000X
 
Under the Physician Assistants & Advanced Practice Nursing Providers Type the title of Midwife, Certified Nurse was changed to Advanced Practice Midwife and the defintion was changed:

Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).
Source: American College of Nurse-Midwives, 2008

Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs.

225X00000X
 
Under the Respiratory, Developmental, Rehabilitative and Restorative Service Providers Type, Occupational Therapist Classification, the definition was changed:

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007.

224Z00000X
 
Under the Respiratory, Developmental, Rehabilitative and Restorative Service Providers Type, Occupational Therapy Assistant Classification, the definition was changed:

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007.

225XP0200X
 
Under the Respiratory, Developmental, Rehabilitative and Restorative Service Providers Type, Occupational Therapist Classification, a definition was added for the Pediatrics Specialization:

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007.

Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT’s Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

225XR0403X
 
Under the Respiratory, Developmental, Rehabilitative and Restorative Service Providers Type, Occupational Therapist Classification, the title of Rehabilitation, Driver Specialization was changed to Driving and Community Mobility and the defintion was changed:

Occupational therapists can optimize and prolong an older driver’s ability to drive safely and ease the transition to other forms of transportation if driving cessation becomes necessary. By identifying strengths as well as physical or cognitive challenges, occupational therapists can evaluate an individual’s overall ability to operate a vehicle safely and recommend assistive devices or behavioral changes to limit risks. Occupational therapy practitioners offer a continuum of services related to community mobility, from evaluation of driving performance, through counseling and support for lifestyle changes, to maintaining independence and quality of life.
Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007.

Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary specialty certification for a Driving & Community Mobility Occupational Therapist if the applicant meets the following requirements:
  • Professional or technical degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 2,000 hours of experience as an occupational therapist or occupational therapy assistant.
  • 600 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 3 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Fact Sheets: Older Driver

251J00000X
 
Under the Agencies Type a definition was added for the Nursing Care Classification:

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Source: National Uniform Claim Committee, 2008
 
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