As part of the investigation process you may require more information than is displayed on the Results page of a particular Search. Instead of performing additional Searches on the target subject, you can save time by ordering reports. Reports contain information on a subject gathered from multiple sources into one consolidated view.

Important:   The Public Records and commercially available data sources used on reports have errors.  Data is sometimes entered poorly, processed incorrectly and is generally not free from defect.  This system should not be relied upon as definitively accurate.  Before relying on any data this system supplies, it should be independently verified.  For Secretary of State documents, the following data is for information purposes only and is not an official record.  Certified copies may be obtained from that individual state's Department of State.  The criminal record data in this product or service may include records that have been expunged, sealed, or otherwise have become inaccessible to the public since the date on which the data was last updated or collected.

Accurint does not constitute a "consumer report" as that term is defined in the federal Fair Credit Reporting Act, 15 USC 1681 et seq. (FCRA). Accordingly, Accurint may not be used in whole or in part as a factor in determining eligibility for credit, insurance, employment or another permissible purpose under the FCRA.


Your DPPA Permissible Use:  Court, Law Enforcement, or Government Agencies
Your GLBA Permissible Use:  Fraud Prevention or Detection
Your DMF Permissible Use:  Legitimate Business Purpose Pursuant to a Law, Government Rule, Regulation, or Fiduciary Duty

Provider License Report

Subject Information

NAME: EDWARD SMITH   DOB: Xx/15/1949
TYPE:   GENDER: Male
SSN: 555-55-XXXX   UPIN: C9876
TIN/FEIN:   DECEASED: no
NPI: 12121212    

 

License Information

Medical License(s)        
License Number License State Effective Date Expiration Date Status
123 NV 08/12/1978 12/31/14 Active
123 NV 08/12/1978 12/31/14 Inactive
123 NV 08/12/1978 12/31/14 Inactive
123 NV 08/12/1978 12/31/14 Active
123 NV 08/12/1978 12/31/14 -Inactive
Os00000L PA 09/12/1970 10/31/2004 --

 

Professional License(s)

License Number License State License Type Effective Date Expiration Date
         

DEA License(s)

DEA Number DEA EXPIRATION
AH6054321 06/31/2014
AH6054321 06/31/2011
AH6054321 06/31/2008
AH6054321 06/31/2005
AH6054321 06/31/2005

 

Additional Information

RESIDENCY Lincoln Hospital University
Medical Center Camden, NJ
 
DEGREES: DO, MD
 
LANGUAGES: English, Spanish
 
MEDICAL SCHOOLS & GRADUATION: Pennsylvania College of Osteopathic Medicine 1972
Pennsylvania College of Osteopathic Medicine 1968
   
HOSPITAL AFFILIATIONS: Mountainview Hospital
Sunset and Medical Center
UMC of Southern Nevada
   
MEDICARE OPT OUT: No
   
DEROGATORY INFORMATION No

 

GROUP AFFILATIONS:

DR EDWARD SMITH

PROFESSIONAL CORPORATION
Edward Smith DO

General Practice

ABC MEDICAL GROUP

 
   
HOSPITAL AFFILIATIONS:
   
SPECIALTIES:
Family Practice
Family Practice - Adolescent Medicine
Family Practice - FAMILY MEDICINE
Family Practice - Vascular Surgery
General Practice - Adolescent MedicineGeneral Practice - FAMILY MEDICINE
 
   
BOARD CERTIFIED SPECIALITIES: SURGERY - ABMS
Issued: 11/26/2007
Expires: 07/01/2018
   

Associated Business Information

Business Address: Phone:  
INSTITUTE FOR WELLNESS, LAS VEGAS NV 89128 --  
888 W SAHARA AVE STE 200, LAS VEGAS NV 89117-8900 702-555-1212
702-555-9999
 
27 N BIG WAY, LAS VEGAS NV 89128-0000 702-555-9999
702-555-0000
 
Business Address: Phone:  
INSTITUTE FOR WELLNESS, LAS VEGAS NV 89128 --  
888 W SAHARA AVE STE 200, LAS VEGAS NV 89117-8900 702-555-1212
702-555-9999
 
     
Business Address: Phone:  
INSTITUTE FOR WELLNESS, LAS VEGAS NV 89128 --  
888 W SAHARA AVE STE 200, LAS VEGAS NV 89117-8900 702-555-1212
702-555-9999
 

For additional information on the subject: 

Click to run the Comprehensive Health Care Provider Report
 
 

Important:   The Public Records and commercially available data sources used on reports have errors.  Data is sometimes entered poorly, processed incorrectly and is generally not free from defect.  This system should not be relied upon as definitively accurate.  Before relying on any data this system supplies, it should be independently verified.  For Secretary of State documents, the following data is for information purposes only and is not an official record.  Certified copies may be obtained from that individual state's Department of State.  The criminal record data in this product or service may include records that have been expunged, sealed, or otherwise have become inaccessible to the public since the date on which the data was last updated or collected.

Accurint does not constitute a "consumer report" as that term is defined in the federal Fair Credit Reporting Act, 15 USC 1681 et seq. (FCRA). Accordingly, Accurint may not be used in whole or in part as a factor in determining eligibility for credit, insurance, employment or another permissible purpose under the FCRA.


Your DPPA Permissible Use:  No Permissible Purpose
Your GLBA Permissible Use:  No Permissible Purpose
Your DMF Permissible Use:  No Permissible Purpose

Provider Report Card

Date: 05/15/15

PROVIDER NAME: JOHN DOE  
ADDRESS: 1234 NEW STREET BLVD  
CITY: YOUR CITY  
STATE: NV  
ZIP CODE: 89100  
NPI: 1122110000  
LICENSE NUMBER: 000 (NEVADA)  

 

Name Verified - Yes
Address Verified - Yes
NPI Verified- Yes
NPI Valid - Yes
License Verified - Yes
Licences Valid - Yes

 

Deceased - No

 

Sanctions: ORDER SANCTION REPORT
Possible LEIE Exclusion - No
Possible EPLS Exclusion - No
Disciplinary Sanction - Yes

 

Additional Information

 

GENDER DOB SSN
M 08/1946 111-11-XXXX


License Number License State Effective Date Expiration Date Status
229 NV 06/12/1978 12/31/15 Active
123 NV 08/12/1978 12/31/14 Active
123 NV 08/12/1978 12/31/14 Inactive
123 NV 08/12/1978 12/31/14 Inactive

 

DEA Number DEA EXPIRATION
AH6050000 06/31/2014
AH6050000 06/31/2011
AH6050000 06/31/2008
AH6050000 06/31/2005
AH6050000 06/31/2005

 

degrees:    
DO    

 

Taxonomy Code Primary Indicator
AH6050000 06/31/2014
AH6050000 06/31/2011
AH6050000 06/31/2008
AH6050000 06/31/2005
AH6050000 06/31/2005

 

Business Addresses
4500 W STREET,YOUR CITY NV 89100-0000
2200 W STREET,YOUR CITY NV 89100-0000
8900 W STREET,YOUR CITY NV 89100-0000
1111 W SOUTH STREET,YOUR CITY NV 89100-0000
444 W STREET,YOUR CITY NV 89100-0000
4500 E STREET,YOUR CITY NV 89100-0000
8880 W BRONW STREET,YOUR CITY NV 89100-0000
4511 W STREET,YOUR CITY NV 89100-0000
4599 W NEW STREET,YOUR CITY NV 89100-0000

 

User Notice: It is the user's responsibility to determine that the physician record obtained from this service is athat of the physician being sought. The board certification data contained in this report has been the primary source verified against the ABMS directory Database compiled by Elsevier in cooperation with ABMS.

Important:   The Public Records and commercially available data sources used on reports have errors.  Data is sometimes entered poorly, processed incorrectly and is generally not free from defect.  This system should not be relied upon as definitively accurate.  Before relying on any data this system supplies, it should be independently verified.  For Secretary of State documents, the following data is for information purposes only and is not an official record.  Certified copies may be obtained from that individual state's Department of State.  The criminal record data in this product or service may include records that have been expunged, sealed, or otherwise have become inaccessible to the public since the date on which the data was last updated or collected.

Accurint does not constitute a "consumer report" as that term is defined in the federal Fair Credit Reporting Act, 15 USC 1681 et seq. (FCRA). Accordingly, Accurint may not be used in whole or in part as a factor in determining eligibility for credit, insurance, employment or another permissible purpose under the FCRA.


Your DPPA Permissible Use:  No Permissible Purpose
Your GLBA Permissible Use:  No Permissible Purpose
Your DMF Permissible Use:  No Permissible Purpose

Disclosed Entity Report

Subject Information

BUSINESS NAME: NEW SERVICES  
ADDRESS: 1000 MAIN RD STE 000  
CITY: YOUR CITY  
ZIP CODE: 48000  
FEIN: NOT ENTERED  
NPI: 1234440000  

 

Company Information

NEW SERVICES
1000 MAIN RD STE 000
YOUR CITY, MI 48000
TAX ID/FEIN: 000011100

 

Associated Individual: 1 - JANE DOE

SSN Verified - Yes ORDER COMPREHENSIVE REPORT
Deceased Indicator - No
Possible LEIE Exclusion - Yes ORDER SANCTION REPORT
Possible EPLS Exclusion - Yes ORDER SANCTION REPORT
Shows Associated -No

 

Associated Individual: 2 - JOHN SMITH

SSN Verified - Yes ORDER COMPREHENSIVE REPORT
Deceased Indicator - No
Possible LEIE Exclusion - No
Possible EPLS Exclusion - No
Shows Associated - Yes

 

Associated Individual: 1 - HEART LUNG AND VEIN SURGERY

FEIN Verified - No ORDER BUSINESS REPORT
Possible LEIE Exclusion - No
Possible EPLS Exclusion - No
Shows Associated -No

 

Associated Individual: 2 - VENDING SERVICES

FEIN Verified - Yes ORDER BUSINESS REPORT
Possible LEIE Exclusion - No
Possible EPLS Exclusion - No
Shows Associated -No

 


User Notice: It is the user's responsibility to determine that the physician record obtained from this service is athat of the physician being sought. The board certification data contained in this report has been the primary source verified against the ABMS directory Database compiled by Elsevier in cooperation with ABMS.