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Connecticut

Freedom Network

Roster of Participating

Physicians a nd Providers

Spring/Summer 2012

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Table of Contents

Primary Care Physician

Specialists

Introduction...3

Hospital Listings...4

Speciality Descriptions...7

...31

Fairfield...31

Hartford...53

Litchfield...81

Middlesex...84

New Haven...88

New London...114

Tolland...120

Washington...122

Windham...123

...127

Fairfield...127

Hartford...174

Litchfield...238

Middlesex...245

New Haven...255

New London...323

Tolland...337

Washington...343

Windham...344

Complementary and Alternative Medicine...349

Ancillary Services... 359

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Introduction

Getting information about a doctor or hospital can be difficult. That’s why providing you with

important tools and data that give you greater access to information about quality and

cost-effective care is one of our priorities.

Introducing the UnitedHealth Premium

®

designation program for Oxford. The UnitedHealth

Premium designation program is a physician performance assessment initiative that evaluates

network physicians based on national standards established by medical specialty societies to

evaluate physicians for quality of care and local market benchmarks for cost efficiency.

A quality of care designation depends on how often a physician follows national industry,

evidence-based clinical guidelines. A cost efficiency designation evaluates how a physician’s

total cost of treatment compares with the average market cost of the treatment. A physician

cannot be designated in cost efficiency without first meeting the guidelines for quality care.

How to Find a Designated Physician:

Simply visit www.oxfordhealth.com, search the physician directory and look for these symbols

next to your search results:

**

Meets UnitedHealth Premium Quality and Efficiency Criteria

*

Meets UnitedHealth Premium Quality Criteria

p Not evaluated/Declined designation

For a complete description of the UnitedHealth Premium designation program, including details

on the methodology used, geographic availability, program limitations and medical specialties

participating, please visit www.oxfordhealth.com.

The providers in this roster are listed alphabetically by county and type of practice. The sections

are divided into the categories of Primary Care Physicians, Specialists, Complementary and

Alternative Medicine Providers and Ancillaries. There is also an index in the back of the book so

you can easily look up a provider by their last name.

Please Note: We are constantly adding new providers to the network. In addition, current

providers may occasionally have a change in their participation status and this roster may not

reflect the latest changes. For the most current information, please visit our website at

www.oxfordhealth.com and click on “Find a Physician or Facility” to find providers and

facilities within our service area or outside of the service area using the UnitedHealthcare Choice

Plus network.

Or, you can call Customer Service at the telephone number on your health plan ID card or call

1-800-444-6222. If you are hearing impaired and require assistance, please call our TTY/TDD

line at 1-800-201-4875. Please call 1-800-303-6719 for assistance in Chinese,

1-800-544-4249 for assistance in Korean, or the telephone number on your health plan ID card

for assistance in English and other languages.

Important Note: UnitedHealthcare Choice Plus providers are not considered in-network

for members enrolled in the following types of products: Freedom and Liberty Network

HMO plans, Freedom and Liberty Network exclusive provider organization (EPO) plans,

Oxford Medicare Advantage

®

plans, and Individual plans.

*The Oxford service area includes

the following: Connecticut, New

Jersey and New York (the five

boroughs and all counties south

of and including Ulster).

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Hospital Listings

HOSPITAL LISTING KEY

Provider Code: HO1234

Facility Name: XYZ Medical Center

Address:

123 Main Street

New Haven, CT 06510

Telephone:

203-555-1234

Short Code:

XYZM

Fairfield

HO3178

Bridgeport Hospital

267 Grant St

Bridgeport, CT 06610

(203) 384-3000

BRID

HO3177

Danbury Hospital

24 Hospital Ave

Danbury, CT 06810

(203) 739-7000

DBYH

HO4040

Greenwich Hospital

5 Perryridge Rd

Greenwich, CT 06830

(203) 863-3000

GRWH

HO3170

Norwalk Hospital

24 Stevens St

Norwalk, CT 06850

(203) 852-2000

NRWK

HO4512

Saint Vincent’s Medical Center

2800 Main St

Bridgeport, CT 06606

(203) 576-6000

SVMC

HO3172

Stamford Hospital

Shelbourne Road @ W Broad St

Stamford, CT 06904

(203) 276-1000

STAM

Hartford

HO4722

Bristol Hospital

41 Brewster Rd

Bristol, CT 06010

(860) 585-3000

BRIS

HO9999

Connecticut Childrenæs Medical Center

282 Washington St

Hartford, CT 06106

(860) 545-9000

CCMC

HO1316

Hartford Hospital

80 Seymour St

Hartford, CT 06102

(860) 545-5555

HART

HO4254

Manchester Memorial Hospital

71 Haynes St

Manchester, CT 06040

(860) 646-1222

MANM

HO9863

Saint Francis Hospital & Medical Center

114 Woodland St

Hartford, CT 06105

(860) 714-4000

STFC

HO2258

The Hospital Of Central Connecticut

100 Grand St

New Britain, CT 06052

(860) 224-5561

NBGH

HO4491

Uconn Health Center - John Dempsey

Hospital

263 Farmington Ave

Farmington, CT 06032

(860) 679-1000

JDPH

Litchfield

HO9265

Charlotte Hungerford Hospital

540 Litchfield St

Torrington, CT 06790

(860) 496-6666

HUNF

HO4479

New Milford Hospital

21 Elm St

New Milford, CT 06776

(860) 355-2611

NEWM

HO4380

Sharon Hospital

50 Hospital Hill Rd

Sharon, CT 06069

(860) 364-4141

SHAR

Middlesex

H378840

Middlesex Hospital

28 Crescent St

Middletown, CT 06457

(860) 344-6000

MIDD

New Haven

HO3255

Griffin Hospital

130 Division St

Derby, CT 06418

(203) 735-7421

GRIF

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HO3446

Hospital Of Saint Raphael

1450 Chapel St

New Haven, CT 06511

(203) 789-3000

STRA

HO9638

Midstate Medical Center

435 Lewis Ave

Meriden, CT 06451

(203) 694-8200

MIDS

HO4381

Milford Hospital

300 Seaside Avenue

Milford, CT 06460

(203) 876-4000

MILF

HO1112

Saint Mary’s Hospital

56 Franklin St

Waterbury, CT 06706

(203) 709-6000

STMH

HO1120

Waterbury Hospital

64 Robbins St

Waterbury, CT 06721

(203) 573-6000

WTBY

HO4716

Yale New Haven Hospital

20 York St

New Haven, CT 06510

(203) 688-4242

YALE

New London

HO4961

Lawrence And Memorial Hospital

365 Montauk Ave

New London, CT 06320

(860) 442-0711

LMEM

HO4529

William W Backus Hospital

326 Washington St

Norwich, CT 06360

(860) 889-8331

WWBH

Tolland

HO5555

Johnson Memorial Hospital

201 Chestnut Hill Rd

Stafford Springs, CT 06076

(860) 684-8478

JMEH

HO2601

Rockville General Hospital

31 Union St

Vernon, CT 06066

(860) 872-0501

RVIL

Washington

H401830

Westerly Hospital

25 Wells St

Westerly, RI 02891

(401) 596-6000

WESTER

Windham

HO3414

Day Kimball Hospital

320 Pomfret St

Putnam, CT 06260

(860) 928-6541

DAYK

HO1661

Windham Community Hospital

112 Mansfield Ave

Willimantic, CT 06226

(860) 456-9116

WIND

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Speciality Descriptions

A specialty is a branch of medicine in which a health care provider specializes. Refer to these descriptions for

additional information.

Specialty is self-reported by the physician and confirmed when the physician first joins the network by verification

of the physician’s training in the specialty or his/her Board Certification status.

w

Primary Care Specialties

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Alternative Medicine Specialties

w

Specialist Specialties

w

Hospital Specialties

w

Dentist Specialties

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Ancillary Facility Specialties

Primary Care Specialties

Family Practice

Family physicians treat a wide variety of ages, ranging from infants to the elderly. Patient care is comprehensive

with preventive, diagnostic and treatment available for individuals or families. Family physician practices will

typically include pediatrics, geriatrics, obstetrics, gynecology and internal medicine.

Internal Medicine

An internal medicine physician, or internist, is a type of primary care physician who specializes in the treatment of

long-term comprehensive care for adults. Internists care for individuals with a wide variety of diseases or

conditions. Internists may limit their scope of practice (e.g., endocrinology, gastroenterology, pulmonology).

Nurse Midwife

An advanced practice specialty of nursing, which requires two additional years of training. The nurse midwife

works under the supervision of an OB/GYN medical doctor to provide prenatal care, uncomplicated delivery of

babies and post-partum care.

Nurse Practitioner

An advanced practice specialty of nursing that requires three additional years of training. The nurse practitioner

works under the supervision of a doctor in the specific specialty. The nurse practitioner generally provides less

complex care in primary care settings.

Obstetrics Gynecology

An obstetrician/gynecologist specializes in the diagnosis, prevention and medical care of the female reproductive

system in addition to the daily management of pregnant women. Obstetrics is the discipline associated with the

pregnancy, delivery and immediate care of a mother and child following birth. Gynecology is the study of women’s

reproductive system.

Pediatrics

A pediatric physician specializes in the development, growth, care and diseases of children. Pediatricians see a

broad range of medical, social and emotional disorders in children. Pediatricians frequently see individuals as they

mature into young adulthood. In addition, they often serve as a consultant to other medical providers as children

need more specialized care.

Specialists

Adolescent Medicine

Adolescent Medicine is a growing subspecialty of Pediatrics, Internal Medicine and Family Practice. Specialists in

Adolescent Medicine provide comprehensive health services to teenagers that are appropriate for their physical and

emotional development.

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Advanced Practice Registered Nurse

An Advanced Practice Registered Nurse (APRN) is a registered nurse with a master’s degree who specializes in

cardiothoracic surgery as a Nurse Practitioner or Clinical Specialist.

Allergy and Immunology

The study of allergic and immunologic diseases (such as pollen, chemical and food allergies, asthma and AIDS) and

their respiratory complications.

Anesthesia Registered Nurse

Nurse anesthetists or Certified Registered Nurse Anesthetists (CRNAs) are licensed, professional nurses who

provide services similar to an anesthesiologist.

Anesthesiology

Anesthesiology is an area of medicine that assists with both surgical procedures and pain control. Anesthesiologists

deliver medications that reduce or eliminate sensation during surgical procedures. The physician will monitor

patient vital signs, blood pressure, heart rate, etc. to ensure safety. Anesthesiologists also typically administer

medication to help manage individuals suffering from chronic pain or illness.

Audiology

A health care professional trained to evaluate hearing loss and related disorders, including vestibular (balance)

disorders and tinnitus (ringing in the ears) and to rehabilitate individuals with hearing loss and related disorders.

Behavioral Health Clinical Nurse Specialist

A nurse specialist with a high degree of knowledge, skill and competence in a specialized area of nursing who has

been legally authorized (registered) to practice after examination by the state nurse examiners board or similar

regulatory authority, and who is legally entitled to use the designation "RN."

Behavioral Health Marriage and Family Therapy

Practitioners, called marriage and family therapists, are trained in individual psychotherapy and family systems to

assess and treat mental, emotional and behavioral disorders, and address an array of relationship issues within the

context of marital/couple, family and other relational systems.

Cardiac Electrophysiology

The electrical conduction system that controls the heart rate, this system generates electrical impulses and conducts

them throughout the muscle of the heart, stimulating the heart to contract and pump blood.

Cardiothoracic Surgeon

A physician who specializes in diseases of the heart, this type of heart physician primarily uses surgical treatments

as opposed to medical treatments.

Cardiology (Cardiovascular Disease)

A cardiologist diagnoses and treats various diseases associated with the heart, lungs and blood vessels. This specialty

of medicine will manage various illnesses that require a broad set of treatments, including medication management,

procedures such as balloon angioplasty, behavior modification etc. Cardiologists often see a wide variety of

disorders ranging from heart attacks to blood vessel blockage.

Chiropractor

A non-physician professional practicing chiropractic medicine based on the interrelationship between the spinal

column and nervous system.

Colorectal Surgeon

Specializes in diseases of the large intestine (bowel), rectum and anus that require surgical operation for diagnosis or

treatment.

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Convenience Care Clinic

Clinics that provide access to care seven days a week without appointment. Usually located within retail

pharmacies.

Critical Care Medicine

The specialized care of patients whose conditions are life-threatening and who require comprehensive care and

constant monitoring, usually in intensive care units.

Dermatological Immunology

Dermatological immunology is the laboratory study of the immune system of the skin. A dermatological

immunologist deals with disorders of the skin caused by allergic reactions and other immune system disorders.

Dermatology

A dermatologist focuses his/her scope of practice to the diagnosis and treatment of skin, hair, nails and mouth.

Dermatologists treat skin cancers, contact dermatitis and other allergic and non-allergic skin disorders.

Dermatologists typically use a wide range of treatments, including medications, ultraviolet light and dermatologic

surgical procedures.

Dermatology-Dermatopathology

The branch of medicine concerned with the diagnosis, treatment and prevention of diseases of the skin, hair, nails,

oral cavity and genitals.

Developmental-Behavioral Pediatrics

A medical specialty focusing on assessment and treatment of children with behavioral issues, developmental

disabilities, adjustment and coping issues, learning and attention disorders, enuresis and encopresis, pain, psycho

physiological disorders, habit problems, anxiety and stress.

Diagnostic Laboratory Immunology

A facility that performs genetic testing, flow cytometry and cellular immunology studies to diagnose and monitor

immunologic disorders.

Dietitian

Nutritional therapy helps prevent and treat illnesses by promoting healthy eating habits, scientifically evaluating

patients’ diets and often suggesting modifications to them. Nutritionists help people learn how to maintain optimal

physical and psychological health as they help promote longevity and work to prevent chronic diseases.

Emergency Medicine

An emergency physician focuses on the immediate decisions and actions necessary to prevent death or any further

disability both in the pre-hospital setting, by directing emergency medical technicians, and in the emergency

department. The emergency physician provides immediate recognition, evaluation, care and stabilization of a

diverse population of adult and pediatric patients.

Empowerment Coach

Empowerment coaching is the practice of assisting clients to determine and achieve goals and manage stress while

being a caregiver.

Endocrinology

A subspecialty of Internal Medicine with a concentration on disorders of the endocrine glands such as the thyroid

and adrenal glands. Endocrinologists treat disorders such as diabetes, metabolic and nutritional disorders, pituitary

diseases and menstrual and sexual problems.

Endocrinology, Diabetes and Metabolism

A sub-specialty of Internal Medicine that deals with conditions such as diabetes that affect the endocrine glands.

The endocrine glands consist of the adrenal glands, thyroid, parathyroid, pancreas and pituitary gland.

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Family Practice

Family physicians treat a wide variety of ages, ranging from infants to the elderly. Patient care is comprehensive

with preventive, diagnostic and treatment available for individuals or families. Family physician practices will

typically include pediatrics, geriatrics, obstetrics, gynecology and internal medicine.

Gastroenterology

A gastroenterologist treats various disorders relating to the digestive system, including disorders of the stomach,

intestines, liver, gallbladder and pancreas. Gastroenterologists use advanced technology in both diagnostic and

treatment methods. Common problems treated by gastroenterologists include stomach ulcers, acid reflux, hepatitis,

irritable bowel and cancer.

General Dentistry

A physician who specializes in the care of teeth and associated structures of the oral cavity. This specialty is

concerned with the prevention, diagnosis and treatment of diseases of the teeth and gums.

General Practice

A general practitioner (GP), family physician or family practitioner (FP) is a physician/medical doctor who

provides primary care. A GP/FP treats acute and chronic illnesses, provides preventive care and health education

for all ages and both sexes. Some also care for hospitalized patients and do minor surgery and/or obstetrics (if they

have hospital privileges).

Genetic Counselor

Genetic Counselors work with patients and families who have genetic or inherited disorders and birth defects. They

also counsel people who are at risk for these problems.

Genetics, Biochemical and Molecular

See below.

Genetics, Clinical (Md)

Clinical Genetics is the medical specialty that provides a diagnostic service and "genetic counseling" for individuals

or families with, or at risk of, conditions that may have a genetic basis.

Genetics, Clinical Biochemical

Clinical biochemical genetics involves the biochemical analysis of chromosomes as they relate to inherited

tendencies. A clinical biochemical geneticist performs and interprets tests done for genetic purposes, such as

diagnosing a genetic disease or disease risk.

Genetics, Clinical Molecular

The study of the molecular structure of genes, involving DNA and RNA (ribonucleic acid).

Genetics, Cytogenetics

The study of the structure, function and abnormalities of human chromosomes.

Geriatric Medicine

A Family Physician with an added certificate in geriatrics that is capable of advising older patients in the

prevention, diagnosis, treatment and rehabilitation of disorders common to old age.

Gynecology

An obstetrician/gynecologist specializes in the diagnosis, prevention and medical care of the female reproductive

system in addition to the daily management of pregnant women. Obstetrics is the discipline associated with the

pregnancy, delivery and immediate care of a mother and child following birth. Gynecology is the study centered on

women’s reproductive system

.

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Gynecological Oncology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with

gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient

with gynecologic cancer and resulting complications.

Hematology

Hematology is a subspecialty of Internal Medicine or Pathology with additional training that specializes in diseases

of the blood, spleen, and lymph glands. This specialist treats conditions such as anemia, clotting disorders, sickle

cell disease, hemophilia, leukemia and lymphoma. A related physician specialist, an oncologist, treats disorders

related to tumors and cancer. Many physicians practice both specialties as many blood-forming organs are closely

related to cancer. (See below)

Hematology-Oncology

Hematology is a subspecialty of Internal Medicine or Pathology with additional training that specializes in diseases

of the blood, spleen, and lymph glands. This specialist treats conditions such as anemia, clotting disorders, sickle

cell disease, hemophilia, leukemia and lymphoma. Oncology is a subspecialty of Internal Medicine that specializes

in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides

on and administers chemotherapy for malignancy, as well as consults with surgeons and radiotherapists on other

treatments for cancer.

Infectious Disease

A subspecialty of Internal Medicine that deals with infectious diseases of all types and in all organs. Conditions

requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS

patients and patients with unexplained fevers. Infectious disease specialists may also have expertise in preventive

medicine and conditions associated with travel.

Internal Medicine

An internal medicine physician, or internist, is a type of primary care physician who specializes in the treatment of

long-term comprehensive care for adults. Internists care for individuals with a wide variety of diseases or

conditions. Internists may limit their scope of practice (e.g., endocrinology, gastroenterology, pulmonology).

Interventional Cardiology

This doctor takes care of people with hypertension, heart disease and heart conditions, and performs procedures

like angioplasty and angiograms.

Licensed Pastoral Psychotherapy

Clergy people with graduate training enabling them to provide psychotherapy, marital and family therapy.

Licensed Professional Counselor

A non-physician specialty that utilizes counseling and psychotherapy to evaluate and treat emotional and mental

problems. Individual and group techniques are used to facilitate problem-solving, decision-making and behavior

changes. Licensed professional counselors assist people in identifying and resolving personal, social, vocational and

interpersonal concerns.

Maternal and Fetal Medicine

An obstetrician/gynecologist who cares for, or provides consultation to patients with complications of pregnancy.

This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and

their affect on both the mother and the fetus. They also have expertise in the most current diagnostic and treatment

modalities used in the care of patients with complicated pregnancies.

Neonatal Perinatal Medicine

A pediatrician is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient

care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

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Neonatology

A neonatologist treats diseases and conditions affecting newborns. Neonatologists work with high-risk pregnancies,

birth and post birth care. As a result, neonatologists frequently consult with both obstetricians and pediatricians in

the delivery and post-birth stages of care.

Nephrology

A nephrologist specializes in conditions affecting structure, function and disease of the kidneys. Patients whose

kidneys have failed, necessitating ongoing dialysis (a treatment to remove toxins and waste from the bloodstream),

are typically under the care of a nephrologist. Further, nephrologists are important team members in the planning

and follow-up care for individuals needing a kidney transplant.

Nurse Midwife

An advanced practice specialty of nursing, which requires two additional years of training. The nurse midwife

works under the supervision of an OB/GYN medical doctor to provide prenatal care, uncomplicated delivery of

babies and post-partum care.

Nurse Practitioner

An advanced practice specialty of nursing that requires three additional years of training. The nurse practitioner

works under the supervision of a doctor in the specific specialty. The nurse practitioner generally provides less

complex care in primary care settings.

Nurse Practitioner-Psychiatry

A Registered Nurse (RN) who has earned a separate license as a Nurse Practitioner through additional education

and experience in psychiatry. Nurse practitioners may diagnose, treat and prescribe for a patient’s condition within

the area of psychiatry, in collaboration with a licensed psychiatrist and in accordance with an approved written

practice agreement and protocols. Nurse Practitioners are autonomous and do not practice under the supervision of

the collaborating physician.

Neurological Surgery

Neurosurgeons provide surgical diagnosis and treatment of diseases and conditions related to the nervous system.

Neurosurgeons typically perform surgery on the brain or the neck area of the spine. They often work within a team

of physicians to manage both the surgical and non-surgical components of a patient’s care.

Neurology

A neurologist specializes in both impaired function and disease as it applies to the brain, spinal cord, nerves and

skeletal muscle. Neurologists routinely deal with disorders such as Alzheimer’s disease, Parkinson’s disease,

migraine headaches and stroke.

Nuclear Medicine

Nuclear medicine specialists produce images by injecting radiopharmaceuticals into the body and making pictures

of the internal organs that would not be visible on an ordinary X-ray.

Nuclear Studies

The study of nuclear medicine; see above.

Nurse

A person trained, licensed or skilled in nursing.

Obstetrics Gynecology

An obstetrician/gynecologist specializes in the diagnosis, prevention and medical care of the female reproductive

system in addition to the daily management of pregnant women. Obstetrics is the discipline associated with the

pregnancy, delivery and immediate care of a mother and child following birth. Gynecology is the study centered on

women’s reproductive system.

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Occupational Medicine

Therapeutic use of activities to maximize a person’s ability to function independently, enhance development and

prevent disease.

Occupational Therapy

A form of therapy that encourages and instructs manual activities for therapeutic or remedial purposes in mental

and physical disorders.

Oncology

Oncology is a subspecialty of Internal Medicine that specializes in the diagnosis and treatment of all types of cancer

and other benign and malignant tumors. This specialist decides on and administers chemotherapy for malignancy,

as well as consults with surgeons and radiotherapists on other treatments for cancer.

Ophthalmology

An ophthalmologist treats, diagnoses and prevents disease associated with the eye. Ophthalmologists are the only

practitioners medically trained to treat disease and conditions of the eye with both surgical and non-surgical forms

of care. Diseases and conditions typically treated by ophthalmologists include glaucoma, retinal detachment,

cataracts and macular degeneration.

Optometry

A non-physician professional specializing in examining eyes and prescribing corrective lenses or other treatments

for visual defects.

Oral Pathology

Oral pathology is the specialty of dentistry and pathology which deals with the nature, identification and

management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes,

processes and effects of these diseases.

Oral Surgery (Dental)

Surgery performed within the mouth cavity, especially around the gums and teeth, for the purpose of preservation

or replacement of teeth.

Oral Surgery (Medical)

Also referred to as maxillofacial surgery, this is a specialization of dentistry that focuses on problems around the

mouth, jaw and neck.

Orthopedic Surgery

A physician who specializes in the diagnosis and correction of injuries or disorders of the bones, joints, muscles and

other support structures (such as ligaments and tendons).

Otolaryngology (Ent)

An otolaryngologist diagnoses and provides medical and/or surgical therapy for prevention of diseases, allergies,

deformities, disorders and injuries. Head and neck oncology, facial plastic and reconstructive surgery, and the

treatment of disorders of hearing and voice are fundamental areas of expertise. An otolaryngologist head and neck

surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the

ears, nose, throat, respiratory and upper alimentary systems and related structures of the head and neck.

Pain Management

The process of providing medical care that alleviates or reduces pain. Pain management is an extremely important

part of healthcare, as patients forced to remain in severe pain often become agitated and/or depressed and have

poorer treatment outcomes.

Pathology, Anatomic

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Pathology, Clinical

Clinical pathology is the diagnosis of disease through the laboratory analysis of bodily fluids and/or tissues.

Pathology, Blood Banking/Transfusion

The blood banking division performs clinical testing and consultation research of the areas of blood banking,

transfusion medicine and hematopoietic stem cell processing.

Pathology, Chemical

Chemical Pathology encompasses detecting changes in a wide range of substances in blood and body fluids

(electrolytes, enzymes and proteins) in association with many diseases. In addition, it involves detecting and

measuring tumor (cancer) markers, hormones, poisons and both therapeutic and illicit drugs.

Pathology, Clinical

The clinical pathology specialty laboratories include hematology, microbiology, immunology, clinical chemistry

(and toxicology), the blood bank (transfusion medicine), and laboratory data management. In these areas, the

pathologist acts as a consultant to the clinician, defining appropriate tests and interpreting their results. Many of

these tests solidify a clinical diagnosis.

Pathology, Cytopathology

Cytopathology is the branch of pathology that studies and diagnoses diseases on the cellular level. A common

application of cytopathology is the Pap smear, used as a screening tool to detect precancerous cervical lesions and

prevent cervical cancer.

Pathology, Dermatopathology

Dermatopathology is specialized pathology of the skin under a microscope. The subspecialty of dermatopathology

is a combination of both dermatology (the diagnosis and treatment of skin, hair and nail diseases) and pathology

(identification of diseases microscopically). Dermatopathology cases may include melanoma and other skin

disorders, immunologic, infectious and pediatric diseases.

Pathology, Forensic

Forensic Pathology is the branch of pathology that deals with the examination of the bodies of people who died

suddenly, unexpectedly or violently. Forensic pathologists are responsible of determining the cause (the ultimate

and immediate reasons for the cessation of life) and manner (homicide, suicide, accidental, natural, or unknown) of

death.

Pathology, Hematology

The branch of pathology dealing with diseases of the blood and blood-producing organs.

Pathology, Immunopathology

The branch of pathology dealing with immune system reaction, including fatigue, muscle weakness, rash, headache,

photosensitivity, pain anywhere, numbness, nausea, diarrhea, constipation, ringing in the ears, toothache, sinus

congestion, nasal stuffiness, fever/chills, flu-like body ache, cough, irritability, depression, sleep disturbances and

“brain fog”.

Pathology, Neuropathology

Neuropathology is the study, diagnosis and consultations on disorders of the brain and central nervous system.

Pedi-Neurodevelopmental Disabilities

The study of neurodevelopmental disability (impairment of the growth and development of the brain or central

nervous system) in children. Disorders of brain function can affect emotion, learning ability and memory and

unfold as the individual grows.

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Pediatric Allergy and Immunology

An allergist that specializes in the identification and treatment of disorders dealing with children’s immune systems.

Often allergists treat allergies caused by substances or events that result in adverse physical reactions, such as bee

stings, medicine, soaps etc.

Pediatric Cardiology

A cardiologist that diagnoses and treats various diseases associated with the heart, lungs and blood vessels of

infants, children and adolescents. This specialty of medicine will manage various illnesses that require a broad set of

treatments, including medication management procedures such as balloon angioplasty, behavior modification etc.

Cardiologists often see a wide variety of disorders ranging from heart attacks to blood vessel blockage.

Pediatric Critical Care Medicine

Treatment of an accident of urgent and pressing medical need of infants, children and adolescents.

Pediatric Emergency Medicine

Treatment of an accident of urgent and pressing medical need of infants, children and adolescents.

Pediatric Endocrinology

An endocrinologist that specializes in the treatment of glands, hormones and other metabolic functions of infants,

children and adolescents. Endocrinologists also routinely deal with such problems as diabetes, thyroid disorders and

nutritional problems.

Pediatric Gastroenterology

A gastroenterologist that treats various disorders relating to the digestive system, including disorders of the

stomach, intestines, liver, gallbladder and pancreas of infants, children and adolescents. Gastroenterologists use

advanced technology in both diagnostic and treatment methods. Common problems treated by gastroenterologists

include stomach ulcers, acid reflux, hepatitis, irritable bowel and cancer.

Pediatric Hematology-Oncology

A hematologist specializes in diseases of the blood and lymph glands of infants, children and adolescents. A related

physician specialist, an oncologist, treats disorders related to tumors and cancer. Often, physicians practice both

specialties as many blood forming organs are closely related to cancer.

Pediatric Nephrology

A nephrologist that specializes in conditions affecting structure, function and disease of the kidneys of infants,

children and adolescents. Patients whose kidneys have failed, necessitating ongoing dialysis (a treatment to remove

toxins and waste from the bloodstream), are typically under the care of a nephrologist. Further, nephrologists are

important team members in the planning and follow-up care for individuals needing a kidney transplant.

Pediatric Neurological Surgery

Pediatric neurological surgery is a discipline of medicine and the specialty of neurosurgery which deals with the

diagnosis, evaluation and treatment of disorders of the central, peripheral and autonomic nervous systems of

children. Pediatric neurological surgery includes the evaluation and diagnosis, operative and non-operative

treatment, critical care and rehabilitation of children with disorders of the nervous system.

Pediatric Neurology

A neurologist that deals with disease and conditions of the brain and nervous system of the child.

Pediatric Ophthalmology

An ophthalmologist that specializes with diseases and conditions of the eye and is able to perform surgery on the

eyes of children.

(17)

Pediatric Orthopedics

An orthopedist that specializes in the treatment of neuromuscular and musculoskeletal disorders of childhood,

extending into adult life.

Pediatric Otolaryngology

An otolaryngologist that treats conditions, diseases and performs surgery on the ears, nose and throat of children.

Pediatric Pathology

Pediatric pathology is the subspecialty of surgical pathology that deals with the diagnosis and characterization of

neoplastic (tumor) and non-neoplastic diseases of children. Pediatric pathologists generally work closely with

pediatricians.

Pediatric Plastic Surgery

A surgeon that treats conditions, diseases and performs surgery on the skin (trauma, burns), face, nose, ears and

throat of children, as well as other areas needing reconstructive surgery.

Pediatric Pulmonology

A pulmonologist that specializes in the functioning, diagnosis and treatment of the lungs of children with a variety

of lung and breathing diseases and conditions. Pediatric pulmonologists commonly treat diseases such as

pneumonia, asthma and bronchitis.

Pediatric Radiology

Diagnosis of children’s illnesses and injuries with the use of X-ray and other forms of radiant energy.

Pediatric Rheumatology

Diagnosis and nonsurgical treatment of arthritis and some disorders of the immune system of infants, children and

adolescents.

Pediatric Sports Medicine

Diagnosis and treatment of injuries sustained in athletic endeavors.

Pediatric Surgery

A subspecialty of general surgery dealing with the management of surgical conditions in premature and newborn

infants, children and adolescents.

Pediatric Urology

A urologist that treats conditions and diseases of, and performs surgery on, the bladder, kidneys and urinary tract

system of children.

Pediatrics

A pediatric physician specializes in the development, growth, care and diseases of children. Pediatricians see a

broad range of medical, social and emotional disorders in children. Pediatricians frequently see individuals as they

mature into young adulthood. In addition, they often serve as a consultant to other medical providers as children

need more specialized care.

Physical Medicine and Rehabilitation

Treatment of disease using physical agents such as heat, cold, light, electricity manipulation or the use of

mechanical devices for the restoration of physiologic function.

Physical Therapy

A branch of rehabilitative health that uses specially designed exercise and equipment to help patients regain or

improve their physical abilities. Physical therapists work with many types of patients from infants born with

musculoskeletal birth defects, to adults suffering from sciatica or the after-effects of injury, to elderly post-stroke

patients.

(18)

Physician Assistant

A mid-level medical practitioner who works under the supervision of a licensed doctor (an MD) or osteopathic

physician (a DO).

Plastic Surgery

A plastic surgeon specializes in the surgical repair and reconstruction of facial and body defects due to birth

disorders, trauma, burns and disease. Plastic surgeons are also involved with enhancement of personal appearance

through surgical procedures.

Podiatry

A podiatrist is a physician that specializes in the evaluation and treatment of diseases of the foot. Podiatric

Medicine includes studies in the basic medical sciences emphasizing the health and conditions affecting the lower

extremities, their diagnosis and treatment, including surgery.

Preventive Medicine

Preventive medicine is routine care (for example, annual physical appointments) that aims to help prevent diseases,

such as cancer and heart disease.

Psychiatry

A psychiatrist specializes in the prevention, diagnosis and treatment of mental, addictive and emotional disorders.

The psychiatrist is able to understand the biologic, psychological and social components of illness and is therefore

able to treat the whole person. A psychiatrist is qualified to order diagnostic laboratory tests and to prescribe

medications; evaluate and treat psychologic and interpersonal problems; and to intervene with families who are

coping with stress, crises and other problems in living.

Psychiatry, Addiction

A medical specialty dealing with the prevention, assessment, diagnosis, treatment and rehabilitation of addiction.

Psychiatry, Child and Adolescent

A medical specialty dealing with the prevention, assessment, diagnosis, treatment and rehabilitation of mental

illness in children and adolescents.

Psychiatry, Clinical Neurophysiology

A medical specialty that studies the central and peripheral nervous systems through the recording of bioelectrial

activity, whether spontaneous or stimulated.

Psychiatry, Geriatric

A medical specialty dealing with the prevention, assessment, diagnosis, treatment and rehabilitation of mental

illness in geriatric patients.

Psychology

A psychologist specializes in diagnosing and treating diseases of the brain, emotional disturbances, and behavioral

problems. Psychologists use talk therapy as treatment; you must see a psychiatrist or other medical doctor to be

treated with medication. Psychologists may have a master’s degree or doctorate (Ph.D.) in psychology.

Public Health and Preventive Medicine

Public Health is the science and practice of protecting and improving the health of a community, as by preventive

medicine, health education, control of communicable diseases, application of sanitary measures and monitoring of

environmental hazards.

Pulmonary Medicine

A pulmonologist specializes in the functioning, diagnosis and treatment of the lungs. Pulmonologists treat patients

of all ages with a variety of lung and breathing diseases and conditions. Pulmonologists commonly treat diseases

(19)

Radiation Oncology

Radiation oncologists are specialist with training and experience in the treatment of cancer. They coordinate the

care of cancer patients and, when needed, prescribe radiation and other anti-cancer drugs.

Radiology

A radiologist utilizes radiology methodologies to diagnose and treat disease. Physicians practicing in the field of

radiology most often specialize in radiology, diagnostic radiology, radiation oncology, or radiological physics.

Radiology, Diagnostic

Radiology, diagnostic X-ray, ultrasound and other imaging techniques such as Computerized Tomography (CT)

and Magnetic Resonance Imaging (MRI).

Radiology, Diagnostic/Nuclear

The use of radioactive isotopes or as an aid in diagnosis and/or therapy.

Radiology, Neuro-Radiology

The branch of radiology that deals with the nervous system; the use of X-rays in the diagnosis and treatment of

nervous system disorders.

Radiology, Nuclear

The branch of radiology that uses radioactive materials in the diagnosis and treatment of health disorders.

Radiology, Vascular and Interventional

A subspecialty of radiology that involves performing minimally invasive procedures to diagnose and treat disease.

Most interventional radiology procedures are performed on an outpatient basis, using a local anesthetic or moderate

sedation.

Reproductive Endocrinology

A specialist in obstetrics and gynecology who is capable of managing complex problems relating to reproductive

endocrinology and infertility and whose current professional activity involves the practice of reproductive

endocrinology.

Rheumatology

A rheumatologist specializes in diseases affecting joints, muscles, bones and tendons. Rheumatology is a

sub-specialty within internal medicine. Rheumatologists treat a variety of diseases and conditions, such as

rheumatoid and osteoarthritis, lupus, collagen disorders and other joint pains.

Sleep Medicine

Sleep medicine is a medical specialty or subspecialty devoted to the diagnosis and therapy of sleep disturbances and

disorders.

Sleep/Wake Disorders

A subspecialty in clinical assessment, physiologic testing, diagnosis, management, and prevention of sleep and

circadian rhythm disorders.

Social Work

A social worker is trained to talk with people and their families about emotional or physical needs and to find them

support services.

(20)

Speech and Language Therapy

Speech and language therapists diagnose and treat disorders of speech, voice and language, and problems with

swallowing or feeding. If a total cure is not possible, they assist people to overcome or minimize the difficulties

associated with these conditions and provide them with support. Although much of the work is with children,

people of all ages are treated. Patients’ problems may be congenital, may be due to learning difficulties or special

educational needs, or may have been caused by injury or by a medical condition like a degenerative illness such as

Parkinson’s disease or a stroke.

Speech Pathology

The science concerned with the diagnosis and treatment of functional and organic speech defects and disorders.

Surgery, General

General surgery is the treatment of injury, deformity and disease using operative procedures.

Surgery, Hand

A surgical specialty that deals with problems of the hand, wrist and forearm.

A surgical specialty concerned with diagnosis and treatment of disorders of the heart, lungs and esophagus. Two

major types of thoracic surgery are classified as pulmonary and cardiovascular.

Surgery, Vascular

The branch of surgery that occupies itself with surgical interventions of arteries and veins, as well as conservative

therapies for disease of the peripheral vascular system. A cardiothoracic surgeon specializes in surgery of the heart

and its vessels. A neurosurgeon specializes in surgery involving vessels in the brain (e.g., intracranial aneurysms).

Surgical Critical Care

Surgery pertaining to the care of seriously ill patients needing immediate and continuous care.

Undersea and Hyperbaric Medicine

Hyperbaric oxygenation is an increased amount of oxygen in organs and tissues resulting from the administration of

oxygen in a compression chamber at an ambient pressure greater than 1 atmosphere of pressure.

Urology

A urologist specializes in the medical and surgical treatments of the urinary system and the male reproductive

system. Urologists treat diseases and conditions such as kidney stones, prostate disorders and impotence.

Dentist Specialties

Endodontics

A specialty of dentistry that deals with the tooth pulp and tissues surrounding the root of a tooth. The pulp

(containing nerves, arterioles and venules, as well as lymphatic tissue and fibrous tissue) can become diseased or

injured and thus is unable to repair itself. The pulp then dies and endodontic treatment is required.

General Dentistry

A physician who specializes in dentistry (the care of teeth).

Oral Surgery (Dental)

Involves surgery for diseases, injuries and deformities of the teeth, mouth and jaw. An oral surgeon (also called a

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Orthodontics

Orthodontics is a specialty of dentistry that is concerned with the study and treatment of malocclusions (improper

bites), which maybe a result of tooth irregularity, disproportionate jaw relationships or both.

Pediatric Dentistry

Dentistry of children and adolescents.

Periodontics

This dental specialty is concerned with the prevention, diagnosis, and treatment of functional and structural disease

of the periodontal membrane and related tissues that support the teeth.

Alternative Medicine Specialities

Please verify your benefits.

Acupuncture

The gentle insertion of hair-fine needles into specific points on the body to help stimulate the flow of one’s Qi

(pronounced chee) or natural healing energies. Acupuncturists work to relieve obstructions in energy channels that

interrupt the flow of energy in the body. Applying needles to the acupuncture points releases chemicals in the

nervous system that help to moderate pain and stimulate the body’s natural healing abilities. While considered a

non-traditional treatment in Western medicine, acupuncture has been practiced in China for thousands of years.

The World Health Organization recognizes the use of acupuncture in the treatment of a wide variety of

medical problems, including digestive disorders, respiratory disorders, neurological and muscular disorders and

urinary, menstrual and reproductive problems. Additionally, acupuncture is especially useful in resolving physical

problems related to tension, stress and emotional conditions.

Chiropractor

A non-physician professional practicing chiropractic medicine based on the interrelationship between the spinal

column and nervous system.

Massage Therapy

Massage therapy, or the manipulation of soft tissue, helps reduce muscle fatigue and pain by promoting healthy

blood circulation, cleansing toxins from muscle tissues and providing overall relief from muscle tension. Massage

can help loosen and relax contracted muscles and disperse accumulated by-products of muscle action that can cause

irritation, thus increasing muscle recovery time from physical activity.

Naturopathic Medicine

Naturopathic medicine (or naturopathy) is a philosophy based on the belief that the body can heal itself following

the laws of nature and that treatments should support normal body functions. Naturopathic medicine attempts to

improve health, prevent disease and treat illness by promoting the use of organic foods and exercise; maintaining a

healthy, balanced lifestyle; and applying concepts from other areas of complementary medicine (such as ayurveda,

homeopathy and herbal therapies). The goal of naturopathy is to help people become well and stay well, which is

believed to be the natural state of the body. Naturopathy was developed in the late 1800s in the United States.

Today, a licensed naturopathic physician (ND) attends a four-year, graduate-level naturopathic medical school

and is educated in all of the same basic sciences as a medical doctor (MD). However, the ND also studies

alternative approaches to therapy, such as herbal medicine, acupuncture and bodywork.

Nutritionist

Nutritionists help prevent and treat illnesses by promoting healthy eating habits, scientifically evaluating patients’

diets and offering diet modifications. Most experts agree that good nutrition, including nutritional supplements,

may be effective for a variety of illnesses, injuries and age-related problems.

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Yoga

A system of personal development that encompasses the body, the mind and the spirit through its unique

meditation, stretching and breathing exercises. Yoga exercises are a complex and interwoven series of exact and

controlled movements of major muscle groups which affect the alignment and structure of the body. Yoga has been

proven to help reduce stress, lower blood pressure and regulate heart rate.

Hospital Specialties

*Hospital Accreditation status is verified directly with the Joint Commission, www.jointcommissions.org or

American Osteopathic Association (AOA) www.osteopathic.org when the provider is first credentialed and then at

least every three years thereafter. For more information, please visit one of these websites.

Acute Care Hospital

A facility that provides short-term medical treatment for patients having an acute illness or injury or recovering

from surgery.

Alcohol/Drug Rehab Hospital – Private

A privately operated hospital that specializes in providing inpatient and outpatient counseling services for

individuals who are coping with alcoholism and substance abuse. Facility typically consists of the following

specialists: Behavioral Health Clinical Nurse Specialist, Psychiatrist of Addiction, Licensed Professional Counselor,

Behavioral Health Marriage and Family Therapist, Nurse Practitioner of Psychiatry, Psychologist, Social Worker.

Alcohol/Drug Rehab Hospital – State Operated

A state-operated hospital that specializes in providing inpatient and outpatient counseling services for individuals

who are coping with alcoholism and substance abuse. Facility typically consists of the following specialists:

Behavioral Health Clinical Nurse Specialist, Psychiatrist of Addiction, Licensed Professional Counselor,

Behavioral Health Marriage and Family Therapist, Nurse Practitioner of Psychiatry, Psychologist, Social Worker.

Behavioral Health Provider

A person, partnership or professional corporation comprised of appropriately licensed persons (e.g., Certified

Substance Abuse Counselor, Clinical Psychologist, Clinical Social Worker, Licensed Substance Abuse Treatment

Practitioner, Licensed Practical Nurse, Marriage and Family Therapist, Mental Health Professional, Physician,

Professional Counselor, Psychologist, Registered Nurse, School Psychologist, Social Worker).

Hospice

A hospice center is generally a not-for-profit community facility that supports terminally ill patients in their

preparation for death. The philosophy of a hospice center is to provide comfort, not cure. People that are within six

months of death are given comfort care along with specific comfort measures prescribed by their personal doctor.

Other Ancillary

Providers who do lab tests; radiology tests (X-rays); physical, speech and occupational therapies; ambulance

services; and more.

Outpatient Alcohol/Drug Rehab Facility

A facility that specializes in providing counseling service in an outpatient setting for individuals who are coping

with alcoholism and substance abuse. Facility typically consists of the following specialists: Behavioral Health

Clinical Nurse Specialist, Psychiatrist of Addiction, Licensed Professional Counselor, Behavioral Health Marriage

and Family Therapist, Nurse Practitioner of Psychiatry, Psychologist, Social Worker.

Physical Rehabilitation Facility

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Physical Rehabilitation HOSPITAL

A rehabilitation hospital, also referred to as Inpatient Rehabilitation Hospitals, devoted to the rehabilitation of

patients with various neurological, musculo-skeletal, orthopedic and other medical conditions following

stabilization of their acute medical issues.

Psychiatric Hospital – Private

A privately operated health care facility that provides inpatient and outpatient therapeutic services to individuals

with behavioral or emotional illnesses. Facility typically consists of the following specialists: Behavioral Health

Clinical Nurse Specialist, Psychiatrist, Licensed Professional Counselor, Behavioral Health Marriage and Family

Therapist, Nurse Practitioner of Psychiatry, Psychologist, Social Worker.

Psychiatric Hospital – State Operated

A state-operated health care facility that provides inpatient and outpatient therapeutic services to individuals with

behavioral or emotional illnesses. Facility typically consists of the following specialists: Behavioral Health Clinical

Nurse Specialist, Psychiatrist, Licensed Professional Counselor, Behavioral Health Marriage and Family Therapist,

Nurse Practitioner of Psychiatry, Psychologist, Social Worker.

Radiology Center

A physician who uses X-rays or other sources of radiation for diagnosis and treatment.

Skilled Nursing Facility

A special kind of facility that primarily furnishes skilled nursing and rehabilitation services. It may be a separate

facility or a distinct part of another facility, such as a hospital.

Ancillary Facility Specialities

Alcohol/Drug Rehab Hospital – Private

A privately operated hospital that specializes in providing inpatient and outpatient counseling services for

individuals who are coping with alcoholism and substance abuse. Facility typically consists of the following

specialists: Behavioral Health Clinical Nurse Specialist, Psychiatrist of Addiction, Licensed Professional Counselor,

Behavioral Health Marriage and Family Therapist, Nurse Practitioner of Psychiatry, Psychologist, Social Worker.

Alcohol/Drug Rehab Hospital – State Operated

A state-operated hospital that specializes in providing inpatient and outpatient counseling services for individuals

who are coping with alcoholism and substance abuse. Facility typically consists of the following specialists:

Behavioral Health Clinical Nurse Specialist, Psychiatrist of Addiction, Licensed Professional Counselor,

Behavioral Health Marriage and Family Therapist, Nurse Practitioner of Psychiatry, Psychologist, Social Worker.

Ambulance Services

Medical transport to a hospital when en route care is necessary. May have less acute transport capability available.

For instance,transport to a doctor’s office or clinic office.

Ambulatory Surgery Center

An outpatient surgery facility. It can be free standing or associated with a hospital setting. Generally, people are

admitted to have surgery or a procedure performed and are discharged in one day.

Ambulette Non-Urgent Transport

An ambulette is a non-emergency vehicle that accommodates wheelchairs and /or stretchers and provides assisted

transport, but does not provide skilled medical services en route.

Amniocentesis

Procedure used in prenatal diagnosis to obtain amniotic fluid that can be used for genetic and other diagnostic tests.

Informally called an "amnio."

(24)

Anesthesia Group

A group of physicians who specialize in anesthesiology (see below).

Anesthesiology

Anesthesiology is an area of medicine that assists with both surgical procedures and pain control. Anesthesiologists

deliver medications that reduce or eliminate sensation during surgical procedures. The physician will monitor

patient vital signs, blood pressure, heart rate, etc. to ensure safety. Anesthesiologists also typically administer

medication to help manage individuals suffering from chronic pain or illness.

Audiological Testing

Audiological testing assesses hearing ability. Tests may consist of pure tone air and bone conducting testing, speech

reception and identification, tympanometry and acoustic reflex testing. An audiologist will determine which of

these tests are necessary.

Audiology

Diagnosis and treatment of hearing impairment.

Group Behavioral Health

A partnership or professional corporation comprised of appropriately licensed persons (e.g., certified substance

abuse counselor, clinical psychologist, clinical social worker, licensed substance abuse treatment practitioner,

licensed practical nurse, marriage and family therapist, mental health professional, physician, professional

counselor, psychologist, registered nurse, school psychologist, social worker).

Behavioral Health Provider

A partnership or professional corporation comprised of appropriately licensed persons (e.g., certified substance

abuse counselor, clinical psychologist, clinical social worker, licensed substance abuse treatment practitioner,

licensed practical nurse, marriage and family therapist, mental health professional, physician, professional

counselor, psychologist, registered nurse, school psychologist, social worker).

Birthing Center

There are certain criteria that a pregnant woman must meet in order to give birth at these centers. The typical stay

is less than 24 hours. An outpatient birthing center, which may or may not be associated with a hospital. This is a

facility that is used for uncomplicated deliveries.

Cancer Treatment Center

A cancer treatment center is a facility that provides both conventional and alternative medical treatments for

cancer, including but not limited to breast, lung, ovarian and uterus.

Cardiac Testing Services

An outpatient cardiac center that performs heart tests and procedures. It may or may not be associated with a

hospital. Generally, the procedure and recovery time is less than four hours.

Cardiology Group

A group of physicians who specialize in cardiology care. A cardiologist diagnoses and treats various diseases

associated with the heart, lungs and blood vessels. This specialty of medicine will manage various illnesses that

require a broad set of treatments, including medication management, procedures such as balloon angioplasty,

behavior modification etc. Cardiologists often see a wide variety of disorders ranging from heart attacks to blood

vessel blockage.

Chiropractic Center

A chiropractic center is a facility that specializes in diagnosis and treatment based on the concept that the nervous

system coordinates all of the body’s functions and holds that disease results from a lack of normal nerve function

and employs manipulation and specific adjustment of body structures such as the spinal column.

(25)

Comprehensive Outpatient Rehab Facility

A non-residential facility established and operated exclusively for the purpose of providing diagnostic, therapeutic

and restorative services for the rehabilitation of injured, disabled, or sick persons, at a single fixed location, by or

under the supervision of a physician.

Dermatology Group

A group of physicians who specialize in dermatology care.

Diabetic Counseling Center

A diabetic counseling center is a facility designed to help people with diabetes learn valuable self-management skills

for controlling blood glucose levels and reducing risk of long-term complications.

Dialysis Center

An outpatient treatment center that provides dialysis (blood filtering) for people with end-stage kidney disease.

Kidney dialysis usually takes eight hours three times a week.

Durable Medical Equipment

Durable medical equipment (DME) is equipment that: (a) can withstand repeated use, (b) is primarily and

customarily used to serve a medical purpose, (c) detects the absence or presence of an illness or injury and (d) is

appropriate for use in the home. All requirements of the definition must be met before an item can be considered to

be DME.

Emergency Medicine

Treatment of an illness or injury of urgent and pressing medical need.

Emergency Room Physician Group

This is an emergency-room specific group of physicians that work cooperatively with hospital administration,

nursing, and local medical staff to create a cohesive, patient-oriented team delivering excellent care.

Family Services Clinic

Health care programs or services designed to assist individuals in the planning of family size. Various methods of

contraception can be used to control the number and timing of childbirths.

Family Planning Services

Family planning services help people plan when to have children and the use of birth control and other techniques

to implement such plans. Other techniques commonly used include sexuality education, prevention and

management of sexually transmitted infections, pre-conception counseling and infertility management.

Family Practice

Family physicians treat a wide variety of ages, ranging from infants to the elderly. Patient care is comprehensive

with preventive, diagnostic and treatment available for individuals or families. Family physician practices will

typically include pediatrics, geriatrics, obstetrics, gynecology and internal medicine.

Gastroenterology Group

A group of physicians who specialize in Gastroenterology care.

Genetic Testing/Counseling Center

Genetic testing and counseling involves educating families and individuals about their risk of passing on certain

inherited diseases to their offspring.

H.I.V. Medical Care

References

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