Add Physician Window

Add Physician Window

The Add Physician Window is used to create a new physician entry that can be added to the client’s admission.

Field

Description

Title

Use this drop down to select the physician’s title.

First Name

Use this field to enter the physician’s first name.

Middle Initial

Use this field to enter the physician’s middle initial.

Last Name

Use this field to enter the physician’s last name.

Suffix

Use this drop down to select the physician’s suffix.

Org / Group

Use this field to enter the physician’s organization or group.

License

Use this field to enter the physician’s license number.

Expires

Use this field to select the date the physician’s license expires.

UPIN

Use this field to enter the physician’s unique physician identification number.

API

Use this field to enter the physician’s application program interface number.

NPI

Use this field to enter the physician’s national provider identification number.

Active

Select this checkbox to indicate that the physician is active.

Name

Use this field to enter the physician’s name.

Address

Use this field to enter the physician’s street name and number.

Apt

Use this field to enter the physician’s apartment number.

City

Use this field to enter the physician’s city.

State

Use this field to enter the physician’s state.

Zip

Use this field to enter the physician’s zip.

County

Use this field to enter the physician’s county.

Type

Use this drop down to select the category of residence.

Evacuation Zone

Use this drop down to select the physician’s designated evacuation zone.

Home

Use this field to enter the physician’s home phone number.

Mobile

Use this field to enter the physician’s cell phone number.

Work

Use this field to enter the physician’s work phone number.

Fax

Use this field to enter the physician’s fax number.

Email

Use this field to enter the physician’s e-mail address.

Mobile

Select this checkbox to indicate that the physician’s cell phone number is their primary number.

This is a Clinic

Select this checkbox to indicate that the physician’s address is a clinic or office.

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