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Explanations
Additional Provider Search Options
While searching for a provider, you may specify other characteristics that are important to you in selecting a provider. Please keep in mind that some of the information captured in these fields may not be available to view if the data is not supplied to Health Plan of Nevada, Sierra Health & Life or Sierra Health-Care Options (HPN, SHL & SHO) by the plan administrators. However, these additional search options help in pinpointing the types of providers that most closely meet your needs. Descriptions of each characteristic are listed below.
Provider/Facility Name - This information is reported by the provider to HPN, SHL & SHO. HPN, SHL & SHO updates this information at a minimum of every 3 years or upon receiving a change notification from the provider.
Gender - This information is reported by the provider to HPN, SHL & SHO. HPN, SHL & SHO updates this information at a minimum of every 3 years or upon receiving a change notification from the provider.
Specialty - This field identifies the branch of medical science in which the provider practices. This information is reported by the provider to HPN, SHL & SHO. HPN, SHL & SHO updates this information at a minimum of every 3 years or upon receiving a change notification from the provider.
Hospital Affiliation - This field identifies the hospital locations where the provider has privileges to treat patients. The provider reports this information to HPN, SHL & SHO. HPN, SHL & SHO updates this information at a minimum of every 3 years or upon receiving a change notification from the provider. It is possible the practitioner may not notify HPN, SHL & SHO if their hospital affiliation(s) changes in between the 3 year period in which the information is re-validated.
Medical Group Affiliations - This field identifies the network medical practice groups with which this provider associates. The provider reports this information to HPN, SHL & SHO. HPN, SHL & SHO updates this information at a minimum of every 3 years or upon receiving a change notification from the provider. It is possible the practitioner may not notify HPN, SHL & SHO if their medical group affiliation(s) changes in between the 3 year period in which the information is re-validated.
Languages Spoken by the Provider - This field identifies languages other than English spoken by the provider. The provider reports this information to HPN, SHL & SHO. HPN, SHL & SHO updates this information at a minimum of every 3 years or upon receiving a change notification from the provider. It is possible this information may change in between the 3 year period in which the information is re-validated.
Address/Office Location - The provider reports this information to HPN, SHL & SHO. HPN, SHL & SHO updates this information at a minimum of every 3 years or upon receiving a change notification from the provider. It is possible this information may change in between the 3 year period in which the information is re-validated.
Acceptance of New Patients - This field identifies a primary care provider's willingness to accept new patients in their practice/office. The provider reports this information to HPN, SHL & SHO. HPN, SHL & SHO updates this information at a minimum of every 3 years or upon receiving a change notification from the provider. It is possible this information may change in between the 3 year period in which the information is re-validated.
Hospital Accreditation - This field identifies whether the facility has been evaluated to assess the quality of its systems and processes by an external accreditation organization. There are multiple accrediting organizations and requirements may vary depending on the accrediting organization. The facility reports this information to HPN, SHL & SHO. HPN, SHL & SHO updates this information at a minimum of every 3 years or upon receiving a change notification from the facility. It is possible this information may change in between the 3 year period in which the information is re-validated. For more information on accreditation including accreditation status visit the JCAHO web site at www.qualitycheck.org.
Board Certification - This field indicates whether a provider is certified in their medical specialty field of medicine. A board certification granted by the American Board of Medical Specialties provides added assurance of a physician's expertise in a particular specialty and/or subspecialty of medicine. The provider reports this information to HPN, SHL & SHO. HPN, SHL & SHO updates this information at a minimum of every 3 years or upon receiving a change notification from the provider. It is possible this information may change in between the 3 year period in which the information is re-validated. To find more information on board certification including expiration date please visit the American Board of Medical Specialties web site at www.abms.org.
Specialty Descriptions
A specialty is a branch of medicine in which a healthcare provider specializes. Refer to the descriptions below for more information.
Primary Care Specialties
- FAMILY PRACTICE
- A family practice physician is a doctor who coordinates health care for the entire family.
- GENERAL PRACTICE
- A general practice physician is a doctor who coordinates health care for the entire family.
- INTERNAL MEDICINE
- An internal medicine physician, or internist, is a primary care physician who coordinates health care for adults only.
- OBSTETRICS GYNECOLOGY
- An obstetrician/gynecologist manages the health care for women during pregnancy, childbirth, and following delivery and for the reproductive system of women.
- PEDIATRICS
- A pediatric physician is a doctor who manages the health care for children and their medical conditions.
- PHYSICIAN ASSISTANT
- A physician assistant is a mid-level medical practitioner who works under the supervision of a licensed doctor (an MD) or osteopathic physician (a DO).
- NURSE MIDWIFE
- A nurse midwife is a nurse who has an additional two years of training in the practice of nursing. The nurse midwife works under an Obstetrician/Gynecologist doctor to provide women with health care before delivery and through post-partum care.
- NURSE PRACTITIONER
- A nurse practitioner is a nurse who has three years of additional training. The nurse practitioner works under the supervision of a doctor in the specific specialty.
- ADVANCED PRACTICE REGISTERED NURSE
- An Advanced Practice Registered Nurse (APN) is a nurse with a Master`s Degree who works in the area of cardiothoracic surgery as a Nurse Practitioner or Clinical Specialist.
Specialists
- A specialist is defined as a doctor who has advanced education and training in one medical area.
- ACUPUNCTURIST
- The gentle insertion of hair-fine needles into specific points on the body to help stimulate the flow of one`s natural healing energies.
- ALLERGY & IMMUNOLOGY
- An allergist/immunologist doctor who identifies causes of allergies and treats those conditions.
- ANESTHESIOLOGY
- An anesthesiologist provides medications to prevent pain and reduce sensation during surgery. This physician keeps track of the patient`s vital signs, blood pressure and heart rate to ensure that the surgery is done safely.
- AUDIOLOGY
- An audiologist cares for people with hearing disorders and hearing loss.
- BEHAVIORAL HEALTH PROVIDER
- Behavioral Healthcare providers assist individuals to meet life`s challenges associated with marriage and family through professional counseling. They also aid in resolving mental health issues and substance abuse dependencies.
- CARDIOLOGY
- A cardiology doctor identifies and treats health conditions related to the heart, lungs and blood vessels.
- CARDIO-THORACIC SURGERY
- A cardio thoracic surgeon performs heart and blood vessel related surgery.
- CHIROPRACTOR
- A chiropractor is a person who is certified and licensed to practice chiropractic medicine related to the spine and nervous system.
- COLON & RECTAL SURGERY
- A colorectal surgeon performs surgery on the colon and rectum; areas part of the digestive tract.
- DERMATOLOGY
- A dermatologist cares for the skin and related diseases.
- DIETITIAN
- A dietician helps people understand proper nutrition by promoting healthy eating habits, looking at diets, and suggesting changes.
- ENDOCRINOLOGYM
- A endocrinology doctor cares for the glands and their functions, including the thyroid, pituitary gland, and pancreas.
- ENDOCRINOLOGY REPRODUCTIVE
- Endocrinology Reproductive is a medical subspecialty that addresses hormonal functioning as it pertains to reproduction and infertility.
- GASTROENTEROLOGY
- A gastroenterologist treats conditions related to the digestive system, including disorders of the stomach, intestines, liver, gallbladder and pancreas.
- GENERAL SURGERY
- General Surgery is a surgical specialty that focuses on surgical treatment of abdominal organs including intestines and esophagus.
- GENERAL VASCULAR SURGERY
- General vascular surgery relates to the arteries, veins and lymph nodes.
- GERIATRIC MEDICINE
- A geriatric doctor is a family doctor who becomes certified in conditions related to the aging process. A geriatrician works mostly with older adults to treat common conditions of older age.
- GYNECOLOGICAL ONCOLOGY
- A gynecological oncologist is a doctor who cares for tumors in the female reproductive organs, including the breasts.
- HAND SURGERY
- Hand Surgery is the field of medicine that deals with problems of the hand, wrist, and forearm.
- HEMATOLOGY
- A hematologist is a doctor who cares for people with conditions related to the blood and lymph glands.
- HEMATOLOGY ONCOLOGY
- A hematologist oncologist is a doctor who identifies and treats diseases of the blood, spleen and lymph glands.
- HEMATOLOGY ONCOLOGY PEDIATRICS
- A hematologist oncologist pediatric doctor specializes in the care of children and identifies and treats diseases of the blood, spleen and lymph glands.
- HOSPITAL
- A hospital is an institution for health care, often but not always providing for longer-term patient stays.
- INFECTIOUS DISEASE
- An infectious disease doctor identifies and treats infections which may or may not be contagious.
- NEONATOLOGY
- A neonatologist treats diseases and conditions of newborns.
- NEPHROLOGY
- A nephrologist is a doctor who treats conditions related to kidneys.
- NEUROLOGICAL SURGERY
- A Neurosurgeon performs surgeries to identify and treat diseases and conditions related to the nervous system.
- NEUROLOGY
- A neurologist is a doctor who treats conditions related to the brain, spinal cord, nerves and skeletal muscle.
- NEUROPSYCHOLOGY
- Neuropsychology is a branch of psychology and neuroscience that aims to understand how the structure and function of the brain relate to specific psychological processes and behaviors.
- OCCUPATIONAL MEDICINE
- An occupational medicine doctor helps people function independently.
- OCCUPATIONAL THERAPY
- An occupational therapist helps people function independently through practical exercises and activities.
- OPHTHALMOLOGY
- An ophthalmologist is a doctor who identifies and treats conditions of the eye.
- OPTOMETRY
- An optometrist is a person who examines the eyes and orders corrective lenses or other treatments.
- ORAL SURGERY (MEDICAL)
- An oral surgeon is a doctor who performs surgery on the mouth and related areas.
- ORTHOPEDIC SURGERY A orthopedic surgeon is a doctor who
- performs surgery to care for conditions related to the bones, joints, muscles and other support structures (such as ligaments and tendons).
- OTOLARYNGOLOGY (ENT)
- An otolaryngologist is a doctor who treats problems of the ears, nose and throat (often referred to as ENT's).
- PAIN MANAGEMENT
- A pain management specialist is a doctor who works with people to ease pain.
- PERINATOLOGY
- Perinatology is the branch of medicine (obstetrics and pediatrics) dealing with the care for an unborn fetus or newborn infant specifically five months before birth and one month after birth.
- PEDIATRIC CARDIOLOGY
- A pediatric cardiologist diagnoses and treats various diseases associated with the heart, lungs and blood vessels of infants, children and adolescents.
- PEDIATRIC ENDOCRINOLOGY
- A pediatric endocrinologist specializes in the treatment of glands, hormones and other metabolic functions of infants, children and adolescents.
- PEDIATRIC GASTROENTEROLOGY
- A pediatric gastroenterologist treats various disorders relating to the digestive system, including disorders of the stomach, intestines, liver, gallbladder and pancreas of infants, children and adolescents.
- PEDIATRIC HEMATOLOGY-ONCOLOGY
- A pediatric hematologist is a physician who specializes in diseases of the blood and lymph glands of infants, children and adolescents.
- PEDIATRIC INFECTIOUS DISEASE
- A pediatric infectious disease doctor cares for acute and chronic infections of infants, children and adolescents, which may or may not be contagious.
- PEDIATRIC NEPHROLOGY
- A pediatric nephrologist specializes in conditions affecting structure, function and disease of the kidneys of infants, children and adolescents.
- PEDIATRIC NEUROLOGYM
- A pediatric neurologist deals with disease and conditions of the brain and nervous system in infants, children and adolescents.
- PEDIATRIC OPHTHALMOLOGY
- A pediatric ophthalmologist deals with diseases and conditions of the eye in infants, children and adolescents.
- PEDIATRIC ORTHOPEDICS
- A pediatric orthopedic doctor cares for the skeleton, joints, muscles and other supporting structures such as ligaments and cartilages in infants, children and adolescents.
- PEDIATRIC GENERAL SURGERY
- A Pediatric general surgeon is a subspecialty of general surgery dealing with the management of surgical conditions in premature and newborn infants, children and adolescents.
- PHYSICAL MEDICINE & REHABILITATION
- A physical medicine & rehabilitation doctors treats medical conditions by using physical agents such as heat, cold, light, electricity manipulation or the use of mechanical devices to restore health.
- PHYSICAL THERAPY
- A physical therapist treats physical disabilities, malfunctions or pain by exercise, massage, and hydrotherapy without the use of medicines, surgery, or radiation.
- 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.
- PODIATRY
- A podiatrist is a doctor specializing in the treatment of foot disorders.
- PSYCHIATRY
- A psychiatrist is a doctor specializing in the study, treatment and prevention of mental disorders.
- PSYCHOLOGY
- A psychologist is a non-physician specializing in counseling and mental health.
- PULMONARY
- A pulmonologist doctor specializes in the functioning, diagnosis and treatment of the lungs.
- RADIATION THERAPY
- The treatment of cancer by use of radiation therapy.
- RADIOLOGY
- The use of x-rays to diagnosis and treat health problems.
- RHEUMATOLOGY
- A rheumatologist doctor specializes in diseases affecting joints, muscles, bones and tendons.
- SLEEP STUDIES
- A sleep study is a multiple-component test that electronically transmits and records specific physical activities while you sleep. The recordings become data that is analyzed by a qualified sleep specialist to determine whether or not you have a sleep disorder.
- SPEECH PATHOLOGY
- A speech pathologist studies and treats defects, disorders and malfunctions of speech and voice such as stuttering and lisping
- SPORTS MEDICINE
- A field of medicine concerned with the prevention and treatment of athletic injuries.
- UROLOGY
- A urologist is a doctor who specializes in the medical and surgical treatments of the urinary system and the male reproductive system.
Dentist Specialties
- ENDODONTICS
- A specialty of dentistry that deals with the soft tissue forming the inner structure of a tooth and the surrounding nerves and blood vessels.
- GENERAL DENTISTRY
- A physician who specializes in the care of teeth.
- ORAL SURGERY (DENTAL)
- Surgery performed in the mouth specifically on the teeth and jaws.
- ORTHODONTICS
- Orthodontics is a specialty of dentistry that is concerned with the study and treatment of misaligned teeth, improper bites, and disproportionate jaw structure.
- PEDIATRIC DENTISTRY
- Dentistry of children and adolescents.
- PERIODONTICS
- Periodontics is the study and treatment of the tissues that surround and support the teeth, including the gums and supporting bone.
OTHER SUPPORT SERVICES
- HOSPICE
- A hospice center is a facility that supports terminally ill patients in their preparation for death.
- SKILLED NURSING FACILITY
- A facility where care is provided after hospitalization that primarily furnishes skilled nursing and rehabilitation services.
- AMBULANCE SERVICES
- Medical transportation to a hospital, or medical clinic.
- AMBULATORY SURGERY CENTER
- An ambulatory surgery center is an outpatient surgery facility.
- DIALYSIS CENTER
- An outpatient treatment center that provides dialysis (blood filtering) for people with end-stage kidney disease.
- DURABLE MEDICAL EQUIPMENT
- Durable medical equipment 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.
- HOME INFUSION
- Infusion therapy involves medicines and fluids given through a catheter into the bloodstream. Therapies commonly used include antibiotics, chemotherapy drugs, pain medicines and nutrients.
- LABORATORY
- This is a facility that may or may not be associated with a hospital that performs laboratory tests on individuals. These tests are used to diagnose a condition or disease, measure specific chemicals in the body and/or end results of a doctor's treatment plan.
- HOME HEALTH CARE
- A nursing home, or extended care facility, is a facility that specializes in taking care of patient's that need skilled and/or unskilled nursing care, yet do not need the intensity of care delivered in the hospital setting.
- PATHOLOGY SERVICES
- Diagnosis of disease by the examination of tissues and performance of laboratory tests.
- PHARMACY
- Pharmacy is a place of service for preparing and dispensing drugs by a pharmacist.
- PROSTHETICS / ORTHOTICS
- A prosthesis is an artificial substitute or replacement of a part of the body, such as a tooth, eye, a facial bone, the palate, a hip, a knee or another joint, the leg, an arm etc. A prosthesis is designed for functional or cosmetic reasons or both. Orthotic: A support, brace or splint used to support, align, prevent or correct the function of movable parts of the body. Shoe inserts are orthotics that are intended to correct an abnormal or irregular walking pattern, by altering slightly the angles at which the foot strikes a walking or running surface. Other orthotics include neck braces, lumbosacral supports, knee braces and wrist supports.
- URGENT CARE CENTER
- Urgent care centers provide medical care for people that have minor illnesses or injuries.
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