Health Care Provider Sanctions Search Form

To search, select or verify your permissible use from the Drivers' Privacy Protection Act (DPPA) or the Gramm-Leach-Bliley Act (GLBA) drop-down lists, then fill in the form and click Search. You must fill in at least one field; you don't need to enter data for every field.

Note: For more information about selecting a permissible use, see Permissible Uses.
    
Form Search	Select Form Search if you want to search just by filling in the form. You can use alphabetical characters, spaces, periods, and apostrophes, but not wildcards (! or *) or connectors (AND, OR, and W/2) in your search.	
SSN	
You can use a Social Security Number as a search term. However, if you do not possess the proper authorization, such as a member of a recognized law enforcement agency, it will not appear in any of the retrieved information.

Example: 
123456789123 45 6789123-45-6789						
    	
First Name	Enter the person's first name or initial.	
Middle Name / Initial	Enter the person's middle name or initial.	
Last Name	Enter the person's last name.	
Street Address	Enter a complete or partial street address.					
Example: 
10 Brown Street

fifth st

City	
Enter the city of residence for the person you are looking for. Your search will find results for the exact city name as well as for associated city names.

Example: If you enter Skokie (and Illinois for the state) your search will find records for Chicago as well as for Skokie.
    	
State	Select the state the person resides in or select All Available States.	
Zip Code	You can enter a zip code to limit your search to a specific geographical area. We recommend you limit your entry to the 5-digit form most commonly used.	
Date of Birth	
You can use a birth date to narrow your search. Searching on date of birth alone will not produce any results; you must enter a last name or a street address in addition to the birth date.

Enter two digits for the month, two digits for the day and four digits for the year, separated by slashes.

Example: 01/05/1970
    	
Company / Organization Name	You can enter a Company/Organization Name specific to the provider.	
License ID	Enter the license number.	
License State	Select the state in which the license was issued from the drop-down list or select "All Available States".	
Tax ID	Enter the taxpayer ID.	
National Provider Identifier	Enter the National Provider Identifier specific to the provider.	
Search	Click the Search button to begin your search.	
Clear Form	Click the Clear Form link to clear all the data you have entered in the fields.