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  • National Practitioner Data Bank Authorization Form - Ou Medicine

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National Practitioner Data Bank Authorization Form Department requesting NPDB query Provider Name Degree Sex Social Security # Date of Birth NPI# Medical/Professional School Year Graduated Specialty.

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The National Practitioner Data Bank (NPDB) is a web-based repository of reports containing information on medical malpractice payments and certain adverse actions related to health care practitioners, providers, and suppliers.

Even worse, NPDB reports are permanent and cannot be “expunged”. A negative report associated with a provider on the NPDB database due to a civil or criminal action reported by their licensing authority can mean the end to a healthcare provider's career opportunities. Did you know?

What You Must Report to the NPDB Medical malpractice payments. Federal and state licensure and certification actions. Adverse clinical privileges actions. Adverse professional society membership actions. Negative actions or findings by private accreditation organizations and peer review organizations.

Entities use the NPDB query response as a workforce tool for licensing, hiring, and credentialing decisions. Entities are required by law to report to the NPDB. Practitioners, providers, and suppliers search the NPDB (Self-Query) for their own information in the NPDB.

The general public does not have access to NPDB information and cannot view your report. However, registered health care organizations that meet federal requirements may query the NPDB to receive report information on health care professionals.

The National Practitioner Data Bank (NPDB) is a web-based repository of reports containing information on medical malpractice payments and certain adverse actions related to health care practitioners, providers, and suppliers.

To Retrieve a Historical Report Summary Sign into the NPDB. On the Select an Option page, select Historical Search. If Historical Search is not an option, select Report, then select Historical Search. On the Historical Report Search page, specify either:

Federal legislation restricts access to the NPDB to registered entities that meet certain criteria only. The general public does not have right of access to the NPDB or the reports stored in the system. The NPDB is used only for the NPDB's mission of protecting the public and providing quality health care.

The general public does not have access to NPDB information and cannot view your report. However, registered health care organizations that meet federal requirements may query the NPDB to receive report information on health care professionals.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232