A provider receives board certification after completing residency training in their specialty, passed an exam and met all the requirements established by their board. This information is verified with the American Board of Medical Specialties or the American Osteopathic Association when the provider first joins the network and at least every three years thereafter. You can verify the providers current board status by visiting American Board of Medical Specialties.
Moda Health requires accreditation information on hospitals, home health agencies, skilled nursing facilities and free standing surgical centers. An accredited facility must meet certain standards that ensure patient safety. Accreditation information is provided when a facility joins the Moda Health panel and verified every three years thereafter. You can verify the facilities current credential status by visiting:
The distance selector enables you to select providers within a certain distance of your location. You may select a static mileage distance from the drop-down box. Mileage options include:
Any location at which medicine is practiced regularly. Medical facilities range from small clinics and doctor's offices to urgent care centers and large hospitals with elaborate emergency rooms and trauma centers.
Indicates whether the provider is a male or a female. The providers gender is furnished by the provider when they join the Moda Health panel and verified every three years thereafter. The informations accuracy is subject to the providers input.
A provider has a medical group affiliation when they are part of a medical group that has two or more providers. Moda Health may contract with the individual provider or with the whole group. Providers notify Moda Health when they change their affiliation. The accuracy of a providers medical group affiliation is subject to the providers input.
Indicates a provider has permission or privileges to treat patients in a specific hospital. This information is furnished by the provider when they join the Moda Health panel and verified every three years thereafter. The informations accuracy is subject to the providers input.
|Hospital Selection Tools||Tools that provide cost and quality information on Oregon hospitals.|
Indicates the languages spoken by the provider. We assume all providers speak English. Some providers are fluent in other languages as well. The list contains a comprehensive list of all the languages spoken by the providers in the health plan you selected. Please note that if only one provider in the network speaks a particular language, that language will be listed. This information is furnished by the provider when they join the Moda Health panel and verified every three years thereafter. The informations accuracy is subject to the providers input.
The street address of the provider. This information is furnished by the provider when they join the Moda Health panel and verified every three years thereafter. The informations accuracy is subject to the providers input.
The Map link, located at the top of the search results, generates a map and turn-by-turn driving directions from the address you enter as the starting location. If you enter a ZIP code or city and state as your starting address, the starting location in the turn-by-turn directions will be approximated. By entering a street number and name, you'll receive a list of more conveniently located providers, as well as more accurate driving directions.
Networks refers to hospitals, physicians, providers, professionals, chemical dependency treatment programs and facilities that have contracted with us to provide benefits to persons covered under the plan.
If a provider is accepting new patients, there will be a Yes in this section. If the provider is not accepting new patients at this time, there will be a No in this section. Applies to general and internal medicine, family practice, pediatrics and obstetrics/gynecology. This information is self-reported by the providers office. The informations accuracy is subject to the providers input.
PCP (Primary Care Provider)
A primary care physician is a doctor who provides patients with preventive care and treats illnesses and disease. A patients primary care doctor is familiar with most of the patients health problems, and works as a partner with the patient to address each issue. The primary care doctor also coordinates care with other providers who may be treating the patient, such a surgeon, physical therapist, or home care nurse. Primary care doctors are usually family practice, internal medicine, or child (pediatric) doctors. Sometimes other medical specialists will serve as a patients primary care provider, such as a cardiologist (heart doctor) or obstetrics/gynecology doctor.
Provider or facility name
Any entity or professional that gives patient care, such as a hospital, a physician, or a rehabilitation center. The providers name is furnished by the provider when they join the Moda Health panel and verified every three years thereafter. The informations accuracy is subject to the providers input.
A listing of all the dentists, physicians and facilities that are participating with an insurance plan and network.
Specialty providers are trained in a specific area of medicine that focuses on a narrow range of services, procedures, body systems or patients. A specialty is self-reported by the provider and verified by their board certification status when the provider first joins the network. This information is verified every three years. The informations accuracy is subject to the providers input. Examples of specialists include: allergy doctor (allergist), anesthesiologist, cardiologist (heart doctor), heart and blood vessel (cardiovascular) surgeon, dermatologist (skin doctor), family practice doctor, gynecologist, pediatrician (children's doctor), psychiatrist (mental health doctor), or radiologist. Some doctors further train in a sub-specialty area, such as pain management, sports medicine, or interventional cardiology. Doctors may apply to become board-certified in their specialty field, where a medical specialty organization awards certification to those who have met educational and training standards and have successfully passed written or oral exams. The American Medical Association (AMA) and the American Board of Medical Specialties recognizes 24 specialty boards that award certification as valid.
Providers are often grouped into categories for easier searching. Depending on the health plan in which you are enrolled, you may have the choice to select from a number of provider types, such as primary care physicians or hospitals.
Refers to the treatment and management of illness, and the preservation of health through services offered by the medical, dental, pharmaceutical, clinical laboratory sciences, nursing, and allied health professions.
You can sort the results differently by choosing one of the options in the drop down menu. The Provider Directory will automatically resort according to your preference.
For group policies, subscriber is the term used to describe the employee. For individual policies, subscriber is the term to describe the policyholder.
The ID number assigned to the subscriber.
SUBSCRIBER ID - For group policies, subscriber is the term used to describe the employee. For individual policies, subscriber is the term to describe the policyholder. Each subscriber has a unique number that is used to identify you. (For some members the subscriber ID is your social security number, for some members it isn't.) You can find your Subscriber ID number on your Moda Health ID card under the heading "ID number".
Always have your subscriber ID handy when contacting customer service, and your doctor or dentist!
|Academic Medical Center||A group of related institutions including a teaching hospital or hospitals, a medical school and its affiliated faculty practice plan, and other health professional schools.|
|Acupuncturist||Acupuncture is the practice of inserting needles into the body to reduce pain or induce anesthesia. The practice is based on ancient Chinese medicine, and has been adapted to western medicine.|
|Addictionology||The branch of medicine concerned with the study, prevention and treatment of addictive diseases and the physiological and psychological disorders associated with substance dependence. Psychiatrists and psychologists are the most common clinical practitioners associated with this practice, although Neurologists and Anesthesiologists also practice this form of medicine.|
|Allergy||An allergist/immunologist is a physician trained in the prevention, diagnosis, and treatment of immune system problems such as allergies, asthma, inherited immunodeficiency diseases, autoimmune diseases, and even AIDS.|
|Alternative Care||Complementary and alternative medicine is a group of diverse medical and health care systems, practices, and products that are not generally considered part of conventional medicine. Examples include: Homeopathic Medicine, Naturopathic Medicine, Massage and Meditation.|
|Ambulance||A vehicle designed to transport ill or injured patients. It may be used under emergency or nonemergency conditions and is equipped with supplies and personnel to provide patient care en route.|
|Ambulatory Care||Medical services provided on an outpatient (non-hospitalized) basis. Services may include diagnosis, treatment, surgery, and rehabilitation.|
|Anatomical Pathology||A medical specialty that is concerned with the diagnosis of disease based on the gross, microscopic, chemical, immunologic and molecular examination of organs, tissues, and whole bodies.|
|Ancillary Services||Auxiliary or supplemental services, such as diagnostic services, home health services, physical therapy, and occupational therapy, used to support diagnosis and treatment of a patient's condition.|
|Anesthesiology||An anesthesiologist is a doctor who has specialized knowledge and training in anesthesiology and pain relief. Anesthesiology is the practice of medicine dedicated to the relief of pain and total care of the surgical patient before, during, and after surgery. Anesthesiologists can pursue a subspecialty in pain management.|
|Assisted Living||Special combination of housing, supportive services, personalized assistance and health care designed to respond to the individual needs of those who require assistance in activities of daily living.|
|Audiology||An audiologist is a licensed health care professional who diagnoses, evaluates, and treats hearing disorders and communication problems. A licensed audiologist has to complete a minimum of a Master's degree in audiology.|
|Bariatric Medicine||A medical specialty that studies obesity and weight problems, including their causes, prevention, and treatment.|
|Behavior Health||The provision of mental health and chemical dependency (or substance abuse) services.|
|Birthing Center||A medical facility, often associated with a hospital, that is designed to provide a comfortable, homelike setting during childbirth and that is generally less restrictive than a hospital in its regulations, as in permitting midwifery or allowing family members or friends to attend the delivery.|
|Biofeedback/Neurofeedback||Neurofeedback (NFB), also called neurotherapy, neurobiofeedback or EEG biofeedback (EEGBF) is a therapy technique that presents the user with realtime feedback on brainwave activity, as measured by sensors on the scalp, typically in the form of a video display, sound or vibration. The aim is to provide real-time information to the Central Nervous System (CNS) as to its current activity.|
|Cardio Electrophysiology||Diagnosis and treatment of disorders of the heart's rhythm (arrhythmias), such as atrial fibrillation, tachycardia (too-fast rhythm), and bradycardia (too-slow rhythm). A cardiac electrophysiologist is a cardiologist who has special training and expertise in these disorders. Treatment may involve drugs to correct the heart's rhythm or invasive procedures (such as a pacemaker and/or catheter procedures).|
|Cardio Thoracic Surgery||Cardiac surgery (involving the heart and great vessels) and thoracic surgery (involving the lungs and any other thoracic organ) are separate surgical specialties, except in the USA, where they are frequently grouped together, so that a surgeon training in the cardiothoracic specialty will receive a broader but less specialized experience in both fields.|
|Cardiology||Cardiology is a branch of medicine concerned with the study of the structure, function and diseases of the heart.|
|Cardiovascular Disease||Cardiovascular disease refers to the class of diseases that involve the heart or blood vessels (arteries and veins). While the term technically refers to any disease that affects the cardiovascular system, it is usually used to refer to those related to atherosclerosis (arterial disease).|
|Case Management||Monitoring and coordinating the delivery of health services for individual patients to enhance care and manage costs; often used for patients with specific diagnoses or who require high-cost or extensive health care services.|
|Chemical Dependency||Chemical Dependency (including alcoholism) means a substance-related disorder, as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, (DSM-IVTR), except for those related to foods, tobacco, or tobacco products.|
|Child/Adolescent Psychiatry||A Psychiatrist with additional training in the diagnosis and treatment of developmental, behavioral, emotional and mental disorders of childhood and adolescence.|
|Chiropractic||Chiropractic Medicine is practiced by a licensed doctor of Chiropractic who diagnoses and treats conditions related to the effects of those conditions on the nervous system and general health. Chiropractic doctors use natural non-invasive treatment approaches, including spinal adjustments, exercise programs, and other forms of therapeutics to help patients eliminate their pain and optimize their health.|
|Clinical Social Worker||A mental health professional trained to provide services to individuals, families and groups.|
|Colon/Rectal Surgery||Surgery pertaining to the colon and rectal areas.|
|Community Hospital||Nonfederal, short-term general and special hospitals whose facilities and services are available to the public.|
|County Health Department||Local (county or multi- county) health agency, operated by local government, with oversight and direction from a local board of health, which provides public health services throughout a defined geographic area.|
|Critical Care||The specialized care of patients whose conditions are life-threatening and who require comprehensive care and constant monitoring, usually in intensive care units.|
|Dental/Pediatric||a specialist in the field of dentistry - dealing particularly with the oral healthcare of children, from infancy through the teenage years.|
|Dental Hygienist||A dental hygienist is a licensed dental professional who specializes in preventive medical care, typically, but not limited to, focusing on techniques in oral hygiene|
|Denturist/OP Endorsement||A denturist, is a member of the oral health care team who provides an oral health examination, takes impressions of the surrounding oral tissues, constructs and delivers removable oral prosthesis (dentures and partial dentures) directly to the patient.|
|Dermatology||Dermatology is the study of investigation, diagnosing, treatment and prevention of skin problems of all kinds. Dermatologist as a profession is a specialty focusing on diverse disorders and diseases of the skin, mucous membrane, hair, nails and a number of sexually transmitted diseases.|
|Diagnostic Radiology||A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.|
|Dialysis||The kidneys are responsible for filtering waste products from the blood. Dialysis is a procedure that is a substitute for many of the normal duties of the kidneys. Dialysis helps the body by performing the functions of failed kidneys.|
|Dietician||An expert in food and nutrition.|
|Durable Medical Equipment||Medical equipment used in the course of treatment or home care, including such items as crutches, knee braces, wheelchairs, hospital beds, prostheses, etc|
|Endocrinology||Endocrinology is a branch of medicine dealing with disorders of the endocrine system and its specific secretions called hormones. Although every organ system secretes and responds to hormones (including the brain, lungs, heart, intestine, skin, and the kidney), the clinical specialty of endocrinology focuses primarily on the endocrine organs, meaning the organs whose primary function is hormone secretion. These organs include the pituitary, thyroid, adrenals, ovaries and testes, and pancreas. An endocrinologist is a doctor who specializes in treating disorders of the endocrine system, such as diabetes, hyperthyroidism, and many others.|
|Endodontist||The branch of dentistry that deals with diseases of the tooth root, dental pulp, and surrounding tissue.|
|Emergency Medicine||Provides immediate recognition, evaluation, care, stabilization, and disposition of all ages of patients in response to acute illness and injury.|
|Facility||Any location at which medicine is practiced regularly. Medical facilities range from small clinics and doctor's offices to urgent care centers and large hospitals with elaborate emergency rooms and trauma centers.|
|Family Practice||Family practice medicine is the medical specialty which provides continuing, comprehensive health care for the individual and family. It is a specialty that integrates the biological, clinical and behavioral sciences. The scope of family medicine encompasses all ages, both sexes, each organ system and every disease entity.|
|Gastroenterology||Gastroenterology is a branch of medicine concerned with digestive diseases. The practice of gastroenterology concentrates on the diagnosis and treatment of diseases involving the esophagus, stomach, small intestine and large intestine (colon), liver, gallbladder, and pancreas. This medical field is really a subspecialty of Internal Medicine.|
|General Practice||General practice deals with diseases of a general nature for all ages. A general practitioner (GP) or family physician (FP) is a physician 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, do minor surgery and/or obstetrics.|
|General Surgery||A general surgeon treats conditions that require an operation. General surgeons care for patients before, during, and after surgery. Common procedures they perform include removing the tonsils, gallbladder, appendix or colon and repairing injuries; they also operate on the breast and repair hernias.|
|Genetics||Genetics is the branch of biology that deals with heredity, especially the mechanisms of hereditary transmission and the variation of inherited characteristics among similar or related organisms.|
|Geriatrics||Geriatric medicine focuses on health promotion and the prevention and treatment of disease and disability in later life.|
|Gynecology||Gynecology is a branch of medicine that deals with the diseases and routine physical care of the reproductive system of women. Modern gynecology deals with menstrual disorders, menopause, infectious disease and maldevelopment of the reproductive organs, disturbances of the sex hormones, benign and malignant tumor formation, and the prescription of contraceptive devices. A branch of gynecology, reproductive medicine, deals with infertility and utilizes artificial insemination and in-vitro fertilizations.|
|Hematology||Hematology is the branch of biology, pathology, clinical laboratory medicine, internal medicine, and pediatrics that is concerned with the study of blood, the blood-forming organs, and blood diseases. Hematology includes the study of etiology, diagnosis, treatment, prognosis, and prevention of blood diseases.|
|Hematology Oncology||Diagnosis and treatment of diseases of the blood, spleen and lymph glands.|
|Home Care||Service providing nursing, therapy and health related social services in the patients home.|
|Home Infusion Therapy||The IV administration of therapeuticsanalgesics, antibiotics, chemotherapy, parenteral nutritionoutside of a formal healthcare environment.|
|Hospice||A facility or service that provides care for the terminally ill patient and provides support to the family. The care, primarily for pain control and symptom relief, can be provided in the home or in an inpatient setting.|
|Hospitalist||A hospital-based general physician. Hospitalists assume the care of hospitalized patients in the place of patients' primary care physician.|
|Imaging Center||Facilities that practice techniques and processes used to create images of the human body (or parts thereof) for clinical purposes (medical procedures seeking to reveal, diagnose or examine disease) or medical science (including the study of normal anatomy and physiology).|
|Infectious Disease||Infectious disease medicine is a medical field concerned with diagnosis, treatment, and preventive measures for infectious bacterial and viral diseases of all types. Conditions include AIDS, influenza, hepatitis, and travel-related illnesses.|
|Internal Medicine||Doctors of internal medicine ("internists") are medical specialists who typically focus on adult medicine and have had special study and training focusing on the prevention and treatment of adult diseases.|
|Intervention Medicine||Intervention medicine refers to procedure based treatments. Thus, angiography, radiology, oncologists, and neurosurgeons to name a few could be categorized as interventional medicine. This is in contrast to pure diagnostic medicine, which is rare in the United States.|
|Lab||A medical laboratory or clinical laboratory is a laboratory where tests are done on clinical specimens in order to get information about the health of a patient.|
|Long Term Care||Package of services provided to those who are aged, chronically ill or disabled. Services are delivered for a sustained period to individuals who have a demonstrated need, usually measured by functional dependency.|
|Mail-Order Pharmacy||Organization that offers drugs ordered and delivered through the mail to plan members at a reduced cost.|
|Massage Therapist||A person who practices therapeutic massage. In many states, massage therapists can be licensed after completing a specified training program. Licensed therapists may practice independently or in a medical setting.|
|Maternal/Fetal Medicine||A physician who specializes in the diagnosis and treatment of disorders of pregnancy, childbirth, and the puerperium in the mother and child.|
|Medical Supplies||Disposable health care materials that include ostomy supplies, catheters, oxygen and diabetic supplies.|
|Medical Equipment||Medical equipment is used in the home to aid in a better quality of living.|
|Medical/Molecular Genetics||Molecular Genetics - The branch of genetics that deals with the expression of genes by studying the DNA sequences of chromosomes
Medical Genetics is the application of genetics to medicine. Medical genetics is a broad and varied field. It encompasses many different individual fields, including clinical genetics, biochemical genetics, cytogenetics, molecular genetics, the genetics of common diseases (such as neural tube defects), and genetic counseling.
|Mental Health||Diagnosis, treatment, and preventive care that help improve how persons with mental illness feel both physically and emotionally, as well as how they interact with other persons. These services also help persons who have a strong risk of developing a mental illness.|
|Mental Health Provider||Mental Health Provider means a board-certified psychiatrist, state-licensed psychologist, state licensed practicing mental health nurse practitioner, state-licensed clinical social worker or state licensed psychologist associate, state-licensed professional counselor, state-licensed mental health counselor, or state-licensed marriage and family therapist.|
|Midwifery||A health care profession where providers give prenatal care to expecting mothers, attend the birth of the infant, and provide postpartum care to the mother and her infant. Practitioners of midwifery are known as midwives.|
|Naturopathic||Naturopathic medicine is the practice of assisting in the health of patients through the application of natural remedies. Most naturopaths consider their care complementary, not supplementary, to the care of a traditional medical professional (MD or physician). Naturopathic medicine (also known as naturopathy) is a school of medical philosophy and practice that seeks to improve health and treat disease chiefly by assisting the body's innate capacity to recover from illness and injury.|
|Neonatal Intensive Care||A unit, usually shortened NICU and also called a newborn intensive care unit, intensive care nursery (ICN), and special care baby unit, is a unit of a hospital specializing in the care of ill or premature newborn infants. The NICU is distinct from a special care nursery (SCN) in providing a high level of intensive care to premature infants while the SCN provides specialized care for infants with less severe medical problems.|
|Neonatology||Neonatology is a subspecialty of pediatrics that consists of the medical care of newborn infants, especially the ill or premature newborn infant. It is a hospital-based specialty, and is usually practiced in neonatal intensive care units (NICUs).|
|Nephrology||Nephrology refers to the field related to medical conditions of the kidney, and a nephrologist treats people with kidney diseases of various types, including those who have lost kidney function entirely and must rely on dialysis or kidney transplant. Nephrology also includes illnesses caused by abnormalities of the body's water and mineral balance, hypertension (high blood pressure) and diabetes related kidney diseases.|
|Neurology||Neurology is a branch of medicine dealing with the nervous system and its disorders. Neurological disorders affect the central nervous system (brain, brainstem and cerebellum), the peripheral nervous system (peripheral nerves, cranial nerves), or the autonomic nervous system (parts of which are located in both central and peripheral nervous system). Physicians specializing in the field of neurology are called neurologists; surgery on the nervous system is performed by physicians called neurosurgeons.|
|Neurophysiology||The branch of neuroscience that studies the physiology of the nervous system.|
|Neurosurgery||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 patients care.|
|Nurse Midwife||Nurse midwives are advanced practice nurses who have specialized in the practice of obstetrical and gynecological care of relatively healthy women. In addition to a registered nursing license, many nurse-midwives have a master's degree in nursing. Nurse midwives practice in hospitals and medical clinics, and may also deliver in birth centers and at home. They are able to prescribe medications in 48 out of the 50 states. Nurse midwives may work closely with obstetricians, who provide consultation and assistance to patients who develop complications.|
|Nurse Practitioner||A nurse practitioner (NP) is a registered nurse who has completed advanced education (generally a minimum of a master's degree) and training in the diagnosis and management of common medical conditions, including chronic illnesses. Most nurse practitioners specialize in a particular field of medical care.|
|Nursing Facility||An institution that provides skilled nursing care and rehabilitation services to injured, functionally disabled, or sick persons.|
|Nutrition||Nutrition services refer to nutritional diagnosis and treatment by health professionals, including physicians, dieticians, behavioral health specialists, and nutritionists. The nutrition programs of the Older Americans Act, found in Title IIIC, are usually identified in appropriations bills as three activities: congregate nutrition services, home-delivered nutrition services (Meals on Wheels), and nutrition services incentives program, and are provided by a variety of allied health professionals.|
|Obstetrics Gynecology||An obstetrician is a physician who has successfully completed specialized education and training in the management of pregnancy, labor, and pueperium (the time-period directly following childbirth). A gynecologist is a physician who has successfully completed specialized education and training in the health of the female reproductive system, including the diagnosis and treatment of disorders and diseases. An obstetrician/gynecologist is a physician specialist who provides medical and surgical care to women and has particular expertise in pregnancy, childbirth, and disorders of the reproductive system. An obstetrician/gynecologist, commonly abbreviated OB/GYN, can serve as a primary physician.|
|Occupational Therapy||Occupational therapists provide skilled treatment to help individuals develop, regain, or maintain the skills necessary to participate in all facets of their lives. This health profession helps people whose lives have been altered by physical or mental disease, injury, or other health problems. Occupational therapists can provide: customized treatment programs to improve one's ability to perform daily activities, home and job site evaluations with adaptation recommendations, performance skills assessments and treatment, adaptive equipment recommendations and usage training, guidance to family members and caregivers.|
|Oncology||Oncology is the field of medicine concerned with the diagnosis and treatment of cancer. While cancer can occur anywhere in the body, all cancers have one thing in common they are caused by the out-of-control growth of abnormal cells. Chemotherapy drugs are used to kill cancer cells and slow the progression of the disease.|
|Ophthalmology||Medical doctors that deal with ophthalmology, or the study of the eye, its appendages, and related diseases.|
|Optician||An optician is a licensed health care practitioner who provides lenses for the correction vision problems.|
|Optometry||Optometry is a health care profession concerned with eyes and related structures, as well as vision, visual systems, and vision information processing.|
|Oral Maxillofacial Surgery||Oral and maxillofacial surgery is the specialty of dentistry that includes the diagnosis, surgical and related treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the head, mouth, teeth, gums, jaws and neck.|
|Oral Pathologist||Is the specialty of dentistry and pathology concerned with recognition, diagnosis, investigation and management of diseases of the oral cavity, jaws, and adjacent structures|
|Oral Surgeon||The branch of dentistry concerned with the surgical and adjunctive treatment of diseases, injuries, and deformities of the oral and maxillofacial region.|
|Oral Surgery||Oral and maxillofacial surgery is the specialty of dentistry that includes the diagnosis, surgical and related treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the head, mouth, teeth, gums, jaws and neck.|
|Orthodontist||Orthodontics is the branch of dentistry that specializes in the diagnosis, prevention and treatment of dental and facial irregularities|
|Orthopedics||Orthopaedics is a surgical specialty devoted to the diagnosis, treatment, rehabilitation and prevention of injuries and diseases of the musculoskeletal system. This complex system includes bones, joints, ligaments, tendons, muscles, and nerves. Once devoted to the care of children with spine and limb deformities, orthopaedics now cares for patients of all ages, from newborns with clubfeet to young athletes requiring arthroscopic surgery to older people with arthritis.|
|Osteopathic||Osteopathy refers to the practice of osteopathic physicians. Osteopathic physicians believe a proper working musculoskeletal system is at the core of a person's well-being. They regard the body as a unit, not a collection of separate parts. Doctors of osteopathy (DOs) base diagnosis and treatment on the idea that the body's systems are interconnected. Instead of treating specific symptoms or illnesses.|
|Otolaryngology||Otolaryngology is the branch of medicine that specializes in the diagnosis and treatment of ear, nose, throat, and head & neck disorders. Practitioners are called otolaryngologists. A commonly used term for this specialty is ENT (ear, nose and throat).|
|Otology||Otology is a branch of biomedicine which studies normal and pathological anatomy and physiology of the ear (hearing and vestibular sensory systems and related structures and functions) as well as its diseases, diagnosis and treatment.|
|Otorhinolaryngology||Otorhinolaryngology - head and neck is another name for otolaryngolgy, the branch of medicine that specializes in the diagnosis and treatment of ear, nose, throat and head & neck disorders.|
|Pain/Palliative Medical Care||Palliative care is medical care that provides relief, but does not cure a patient's medical problem. It is often used in tandem with discussions of end-of-life or hospice care where a patient cannot be cured, but needs relief from pain and suffering.|
|Palliative Care||A form of medical care or treatment that concentrates on reducing the severity of disease symptoms, rather than striving to halt, delay, or reverse progression of the disease itself or provide a cure.|
|Pathology||Pathology is the study of the causes and processes of diseases through microscopic study.|
|Pediatric Cardiology||Pediatric cardiology is the study and treatment of children with diseases of the heart and blood vessels. A cardiologist is a physician who specializes in treating heart conditions such as abnormal heart rhythms, heart attacks, coronary artery disease, congenital heart defects, and disease of the heart valves. A pediatric cardiologist specializes in treating infants, children and adolescents with cardiovascular problems.|
|Pediatric Critical Care||A Pediatrician who specializes in Pediatric Critical Care Medicine is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients, and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.|
|Pediatric Development||This is a doctor that specializes in the developmental issues of children. Most specialists will review medical, behavioral, social and family history of the child before providing an individualized treatment plan.|
|Pediatric Endocrinology||Pediatric endocrinology is the study and treatment of disorders of the endocrine system of infants, children, and adolescents. A pediatric endocrinologist is a pediatrician who treats children with diabetes, metabolism disorders, and other hormonal conditions. An endocrinologist treats diseases that result from an abnormality in the endocrine glands (glands which secrete hormones), such as diabetes, growth failure, early or late pubertal development, birth defects and thyroid disorders.|
|Pediatric Gastroenterology||Pediatric gastroenterology is the study and treatment children with disorders of the gastrointestinal (GI) tract. A pediatric gastroenterologist is a physician who treats diseases of the digestive organs, including the stomach, esophagus, intestines, pancreas, liver and gallbladder. This specialist treats conditions such as abdominal pain, nausea and vomiting, ulcers, diarrhea, cancer in the GI tract, and jaundice in infants, children and adolescents.|
|Pediatric Hematology/Oncology||Pediatric hematology/oncology is the study and treatment of blood disorders and cancer in infants, children and adolescents. A pediatric hematologist-oncologist is a physician who specializes in treating children with chemotherapy, and consults with other physicians to coordinate other methods of cancer treatments. This specialist uses a background of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.|
|Pediatric Infectious Disease||Pediatric infectious disease medicine is the science and treatment of infectious disease in infants, children and adolescents. A pediatric infectious disease physician is a pediatrician who deals with infectious diseases of all types in children, including respiratory infections, HIV, parasitic infections, and some allergies. This specialist deals with infectious and communicable diseases caused by viruses, bacteria, or parasites.|
|Pediatric Nephrology||A nephrologist specializes in conditions affecting structure, function, and disease of the kidneys. Patients whose kidneys have failed, needing on-going 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 Otolaryngology||This doctor treats conditions, diseases and performs surgery on the ears, nose and throat of children.|
|Pediatric Pulmonology||A pulmonologist specializes in the functioning, diagnosis, and treatment of the lungs. Pulmonologists treat patients with a variety of lung and breathing diseases and conditions. Pulmonologists commonly treat diseases such as pneumonia, asthma, emphysema, and bronchitis.|
|Pediatric Rheumatology||Diagnosis and nonsurgical treatment of arthritis and some disorders of the immune system of infants, children and adolescents.|
|Pediatric Surgery||Pediatric surgery is a subspecialty of surgery involving the surgery of fetuses, infants, children, adolescents, and young adults. Many pediatric surgeons practice at children's hospitals.|
|Pediatrics||Pediatrics is the treatment of disorders and diseases in infants, children and adolescents. A pediatrician is primarily concerned with the influence of disease and dysfunction on a childs development, from preventive care to treatment of diseases. This specialist has background knowledge regarding congenital defects, immunology, oncology, infectious diseases, immunizations, and disorders that are unique to children.|
|Pedodontist||Pediatric Dentistry (formerly Pedodontics/Paedodontics) is the branch of dentistry dealing with children from birth through adolescence.|
|Perinatology||A subspecialty of obstetrics concerned with care of the mother and fetus during pregnancy, labor, and delivery, particularly when the mother or fetus is at a high risk for complications. Physician certification is available in neonatal-perinatal medicine by the American Board of Pediatrics and American Board of Obstetrics.|
|Periodontist||Periodontics is the branch of dentistry concerned with the prevention, diagnosis and treatment of diseases affecting the gums and supporting structures of the teeth. Periodontists are also expert in the placement and maintenance of dental implants.|
|Physiatry||Physiatry also called physical medicine and rehabilitation is a branch of medicine that specializes in diagnosis, treatment and management of disease primarily using "physical" means (such as physical therapy and medications). Essentially, physiatrists specialize in a wide variety of conservative treatments for the musculoskeletal system (the muscles and bones) and do not perform surgery.|
|Physical Medicine/ Rehab||Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. A physical medicine physician, also called a physiatrist, treats diseases and disorders including neck and back pain, and sports injuries or disorders resulting from trauma, such as spinal cord injury or head injury. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation.|
|Physical Therapy||Physical Therapy is providing services to people and populations to develop, maintain and restore maximum movement and functional ability throughout the lifespan. It includes the provision of services in circumstances where movement and function are threatened by the process of aging or that of injury or disease. Physical therapy is concerned with identifying and maximizing movement potential, within the spheres of promotion, prevention, treatment and rehabilitation.|
|Physician Assistant||A physician assistant (PA) is an individual who is a graduate of a physician assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant or by one of its predecessor agencies; and/or who is certified by the National Commission on Certification of Physician Assistants; and who is licensed, registered, or certified to practice medicine with physician supervision. Common services provided by a PA include taking medical histories and performing physical examinations; ordering and interpreting lab tests; diagnosing and treating illnesses; assisting in surgery; prescribing and/or dispensing medication; and counseling patients.|
|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||Podiatry is a field of medicine that strives to improve the overall health and well-being of patients by focusing on preventing, diagnosing, and treating conditions associated with the foot and ankle. Doctors of Podiatric Medicine (DPMs) are physicians and surgeons who practice on the lower extremities, primarily on feet and ankles.|
|Preventive Medicine||Preventive medicine is the science of promoting health and wellness, and preventing disease. A preventive medicine physician works to protect and maintain health, and to prevent disease, disability and premature death. This physician commonly specializes in one of three areas: public health, occupational medicine, or aerospace medicine. A physician completes a preventive medicine fellowship after an internship or residency.|
|Primary Care Provider||A physician chosen by or assigned to a patient, who both provides primary care and acts as a gatekeeper to control access to other medical services.|
|Prosthetics/Orthotics||Prosthetics is the art and science of developing artificial replacements for body parts. Orthotics is an allied health care field concerned with the design, development, fitting and manufacture of orthoses. Orthoses, sometimes called braces or splints, are devices that support or correct musculoskeletal deformities and/or abnormalities of the body.|
|Prosthodontist||A dentist with special training in making replacements for missing teeth or other structures of the oral cavity to restore the patient's appearance, comfort, and/or health|
|Psychiatry||Psychiatry deals with prevention, assessment, diagnosis, treatment and rehabilitation of mental illness.|
|Psychology||Psychology is the study of the mind and behavior. The discipline of psychology embraces all aspects of the human experience from the functions of the brain to the environments in which humans and other animals develop; from child development to aging. Psychologists study two critical relationships: one between brain function and behavior, and one between the environment and behavior.|
|Public Health Department||Local (county or multi- county) health agency, operated by local government, with oversight and direction from a local board of health, which provides public health services throughout a defined geographic area.|
|Pulmonary Disease||Pulmonary diseases are those diseases of the lungs, airways, and all other respiratory organs. A pulmonary physician is called a pulmonologist. The pulmonologist diagnoses and treats pneumonia, asthma, bronchitis, emphysema and other respiratory problems, and uses a variety of invasive and non-invasive diagnostic techniques to help patients.|
|Radiology||Radiology is the branch of medicine that uses radioactive substances, electromagnetic radiation and sound waves to create images of the body, its organs and structures to prevent, diagnose and treat disease. Images can also show how effective the body and its internal organs and structures are functioning.|
|Rehabilitation||To restore to useful life, as through therapy and education or to restore to good condition, operation, or capacity.|
|Reproductive Endocrinology||A reproductive endocrinologist is 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||Rheumatology is the study of rheumatic illnesses, especially arthritis. A rheumatologist is a physician who diagnoses and treats arthritis and other conditions associated with joints, muscle, bones and tendons. This physician specializes in non-surgical treatment of diseases, and works with patients who have unexplained conditions such as weakness, fever, fatigue and weight loss.|
|Rural Health||In medicine, rural health is the interdisciplinary study of health and health care delivery in the context of a rural environment or location.|
|Skilled Nursing Facility||A skilled nursing facility is a facility (which meets specific regulatory certification requirements) that primarily provides inpatient skilled nursing care and related services to patients who require medical, nursing, or rehabilitative services, but does not provide the level of care or treatment available in a hospital.|
|Skilled Nursing Facility (SNF)||Institution or part of an institution, which is primarily engaged in providing to residents a certain level of skilled nursing care and/or rehabilitation services for the injured, disabled or sick.|
|Sight Impaired||Having impaired vision; partially sighted.|
|Sleep Disorders||Sleep disorders arise from many causes, including dysfunctional sleep mechanisms, abnormalities in physiological functions during sleep, abnormalities of the biological clock, and sleep disturbances that contribute to difficulty achieving restful, restorative sleep.|
|Social Work||Social Work is a professional activity concerned with improving the lives of people and includes helping individuals, families, groups, organizations and communities to achieve life enhancing goals. Social workers are employed in many different settings, including health care, mental health, social welfare, criminal justice, housing, education, and child care.|
|Speech Pathology||Treatment of speech impairment.|
|Speech Therapy||Speech and hearing therapy (also known as speech-language pathology and audiology) are health-related specialties concerned with normal development of human communication and treatment of its disorders. Speech therapy focuses on voice and speech-language skills, while hearing therapy deals with hearing and hearing impairment.|
|Sports Medicine||Sports medicine focuses on physical fitness and the diagnosis and treatment of injuries sustained in sports activities. Sports medicine physicians are usually trained in Physical Medicine & Rehabilitation or Orthopedic Surgery.|
|Supplies and Equipment||Supplies are disposable health care materials that include ostomy supplies, catheters, oxygen and diabetic supplies. Medical equipment is used in the home to aid in a better quality of living.|
|Surgery Neurological||Neurological surgery encompasses the surgical, nonsurgical and stereotactic radio surgical treatment of adult and pediatric patients with disorders of the nervous system: disorders of the brain, meninges, skull base, and their blood supply; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column; and disorders of the cranial and spinal nerves throughout their distribution. Neurological surgery is performed by physicians trained as neurosurgeons.|
|Surgery Oncology||Diagnosis and treatment of tumors and malignancy.|
|Surgery Pediatric||Pediatric Surgery is a subspecialty of general surgery dealing with the management of surgical conditions in premature and newborn infants, children, and adolescents.|
|Surgery Thoracic||Thoracic surgery is the repair of organs located in the thorax, or chest. The thoracic cavity lies between the neck and the diaphragm, and contains the heart and lungs, the esophagus, trachea, pleura, mediastinum, chest wall, and diaphragm. General thoracic surgery deals specifically with disorders of the lungs and esophagus. Cardiothoracic surgery also encompasses disorders of the heart and pericardium.|
|Surgery Vascular||Vascular surgery is surgery to treat disorders and diseases of the vascular system (the blood vessels of the body). A vascular surgeon performs surgery on patients with diseases, disorders, or inflammation of the veins and arteries. These diseases of the blood vessels can include vasculitis, aneurysms, ischemia, thrombosis, varicose veins, and immune system abnormalities.|
|Toxicology||Toxicology is the study of the adverse effects of chemicals on living organisms. It is the study of symptoms, mechanisms, treatments and detection of poisoning.|
|Transportation||A vehicle that carries patients.|
|Trauma||Trauma refers to a serious or critical bodily injury, wound, or shock.|
|Urgent Care||Urgent care is defined as the delivery of ambulatory medical care outside of a hospital emergency department on a walk-in basis without a scheduled appointment. Urgent care centers treat conditions that are not life-threatening but need quick attention.|
|Urology||Urology is the surgical specialty that deals with disorders or diseases of the male genito-urinary tract and female urinary tract, although only some people presenting with urological problems need surgery. Problems commonly treated by urologists include benign prostatic hyperplasia, prostate cancer, bladder cancer, voiding dysfunction, kidney stones, kidney cancer, erectile dysfunction, and scrotal swellings.|
|Womens Health||Women's health refers to health issues specific to human female anatomy. These often relate to structures such as female genitalia and breasts or to conditions caused by hormones specific to, or most notable in, females.|
As a Moda Health member, you have access to a network of selected health providers. These in-network providers have contracted with Moda Health to provide benefits at agreed upon rates. You can choose to see an out-of-network provider, but you may have more out-of-pocket expense. You'll get the most from your health benefits by selecting an in-network provider. To learn what Moda Health network you are on, please consult your Member Handbook.