General Questions
How does the American Medical Association (AMA) verify physician identity?
When will changes submitted to the Online Data Collection Center be displayed on AMA DoctorFinder?
Online Physician Data Collection Form Instructions
Physician Contact Information
Physician Photograph
Preferred Mailing Address for All AMA Mailings
Gender
Primary Practice Specialty
Secondary Practice Specialty
Medical School and Year of Graduation From Medical School
Residency Training
Board Certification Confirmed
Practice Philosophy or Description
Physician Availability
Office Information
Health Plan Participation
Hospital Admitting Privileges
Group Practice Participation
Languages Spoken in Your Office
Key Professional Achievements or Awards and Dates
General Questions
How does the American Medical Association (AMA) verify physician identity?
Before accessing the online form for updating, physicians must have a user name and password.
When will changes submitted to the Online Data Collection Center be displayed on AMA DoctorFinder?
Although most changes are displayed on AMA DoctorFinder within 15 business days, some data (eg, residency training) require primary source verification and may not be reflected in AMA DoctorFinder or other AMA products until data have been verified.
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Online Physician Data Collection Form Instructions
Physician Contact Information
Please provide your telephone and fax numbers and your e-mail address. Provide a Web page address (URL) if you currently have an existing Web site.
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Physician Photograph
AMA members may submit a photograph for inclusion in their AMA DoctorFinder listing. Color photos are preferred and should be "headshots" showing primarily the head and shoulders. Photo size should not exceed 5" x 7". Print your complete name and address on the back of the photograph, and mail to:
AMA DoctorFinder
American Medical Association
Department of Internet Services
515 North State Street
Chicago, IL 60610
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We also accept .gif and .jpg files no smaller than 100 x 120 pixels. These files can be emailed to: amamdselect@ama-assn.org. Please be sure to include your complete name and address when you send your file.
We regret that we can no longer post photos showing your staff or your hospital, clinic, etc. Photographs cannot be returned.
Preferred Mailing Address for all AMA Mailings
Please provide your complete mailing address, including valid zip code, and indicate whether this is a home or office location.
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Gender
This data element cannot be changed using the Online Physician Data Collection Form.
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Primary Practice Specialty
Please provide your primary practice specialty. This is an important variable because users often search for a physician by specialty. Primary practice specialty data are used to sort by specialty.
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Secondary Practice Specialty
Please provide your secondary practice specialty.
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Medical School and Year of Graduation From Medical School
These data elements cannot be changed using the Online Physician Data Collection Form.
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Residency Training
Please provide the residency training hospital or institution name, specialty, and training dates.
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Board Certification Confirmed
This data element cannot be changed using the Online Physician Data Collection Form.
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Practice Philosophy or Description
Please provide your practice philosophy or describe your practice in 100 words or less. Do not include basic data already provided in your listing (eg, residency training, medical school).
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Physician Availability
Please provide your office hours and additional information about your availability, including your on-call or emergency access, supplemental or special hours, beeper access, and additional office or clinic locations.
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Office Information
Please indicate whether you accept new patients, Medicare assignment, and Medicaid patients.
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Health Plan Participation
Please provide the major health plans with which you participate.
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Hospital Admitting Privileges
Please provide a list of the hospitals at which you have admitting privileges.
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Group Practice Participation
Please list the group practices with which you participate.
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Languages Spoken in Your Office
Please list all languages spoken in your office, excluding English.
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Key Professional Achievements or Awards and Dates
Please list up to 5 professional achievements or awards, including academic assignments, titles (military, political, organizational), board certification/subcertification and dates, professional memberships, and professional or community service awards. Enter a return to separate achievements/awards.
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Please contact us if you have any further questions about completing the data collection form.
Content provided by: Online Data Collection Center