Health Care Provider 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.

Value Description
Form Search/Terms and Connectors
  • 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.
  • Select Terms and Connectors searching if you want to enter search terms in addition to the fields displayed on the form. An Additional Terms field appears. You can use wildcards and connectors (AND's and OR's and AND NOT) in all the fields.
Last Name Enter the person's last name. If you are not sure of the correct spelling, select Find similar-sounding last names. Your search will find names that match, sound like, or are spelled similarly to the name.
Example:

If you enter klein, your search will also find records with the last names "Cline" and "Kline".

First Name Enter the person's first name or initial. Select the Find nicknames of first name to find alternatives to the first name you specify.
Example:

If you enter robert, your search will also find records with the nicknames "Rob" and "Robbie".

Middle Name / Initial Enter the person's middle name or initial.
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

License Number Enter the license number.
State Select the state the person resides in or select All Available States.
License State Select the state in which the license was issued from the drop-down list or select "All Available States".
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.

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.
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:
  123456789
  123 45 6789
  123-45-6789
                          
Tax ID Enter the taxpayer ID.
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.

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