NEW! Information reporting guide at right.

Welcome to the resource page for the Board’s enhanced Licensee Information project.

This page is designed to answer basic questions about the Licensee Information initiative, which will greatly expand consumer access to public information about licensed physicians and physician assistants. The Board’s existing online licensee information pages are the most popular feature on the website, generating up to 3,600 “hits” a day. For this reason, the Board believes the expanded pages represent a unique marketing opportunity for licensees who wish to highlight their skills, training and unique areas of professional expertise. 
It may be helpful to refer to this page for guidance before logging in to complete or update your licensee information page. If you are ready to enter your information, click here or click the green “Start” button at right.

This page includes:

• A brief overview of the project and notice of licensee’s statutory obligation to provide certain required information.
• Detailed lists of both required and optional information to be collected and published at www.ncmedboard.org
• Downloadable copies of the NC statutes that direct the Board to collect and publish licensee information and the Medical Board rules that specify reporting criteria for malpractice information and misdemeanor convictions. (See buttons at right)
• A sample licensee information page that provides examples of entries for both required and optional categories.
• Licensee Information Page FAQs (See green Quick Links box at far right).

OVERVIEW

Recent changes to North Carolina law require the Medical Board to collect and publish certain information regarding its licensees. The Board wants to insure that the information it collects is accurate and complete. Your assistance is essential to the success of this project. Expanded licensee information pages are expected to go live on this website in December 2009.

Although licensees are required to report certain information, the Board is also providing physicians and physician assistants with the opportunity to provide a broader range of information about the accomplishments they have made in their medical education, training and professional careers. The Board believes the public benefits from having access to this information. You are encouraged to make use of the many new optional categories of information available to them. 

Because some of the requested information is required by law, the Board may consider failure to provide required information unprofessional conduct, which may result in disciplinary action.

REQUIRED INFORMATION

• Graduate medical or osteopathic training (residency) programs attended and completion dates
• Board certifications (Only certifications conferred by boards approved by the American Board of Medical Specialties, Bureau of Osteopathic Specialists of the American Osteopathic Association or the Royal College of Physicians and Surgeons of Canada will be posted)
• Area(s) of practice
• Hospital privileges (within NC)
• Address and telephone number of the primary practice setting
• Medical licenses, active or inactive, granted by another state or country
• Final suspensions or revocations of hospital privileges
• Final disciplinary orders or actions of any regulatory board or agency, including other state medical boards, the U.S. Food and Drug Administration, the U.S. Drug Enforcement Administration, Medicare or the N.C. Medicaid program
• Felony convictions
• Misdemeanor convictions involving offenses against a person, offenses of moral turpitude, offenses involving the use of drugs or alcohol and violations of public health and safety codes.
• Certain malpractice payment information: 1. All judgments or awards that occurred on or after Dec. 1, 2002, and 2. Settlements of $75,000 or more that occurred on or after May 1, 2008. No dollar amounts or information that might identify a patient will be published.
• Medical, osteopathic or physician assistant schools/programs attended and graduation dates.  (This Board has this information on file. You will not need to enter new information.)

OPTIONAL INFORMATION

• Practice Web address
• Days licensee sees patients at the primary practice setting
• Number of years in clinical practice (since completing residency)
• Participation in Medicare and Medicaid and whether you are accepting new patients in these insurance programs
• Whether you use electronic medical records in the office setting
• Non-English languages spoken in the office and by the licensee
• Honors and awards
• Professional volunteer service (work in indigent clinics, etc.)
• Current faculty appointments
• Professional publications (peer-reviewed)
• Memberships in professional organizations
• Description of practice philosophy

SAMPLE LICENSEE INFORMATION PAGE

The sample below is designed to provide examples of possible entries for many of the required and optional information categories.

Please note that the Board’s data entry system has a different appearance, as will the final licensee information pages available to the public in December 2009.

Name:
John Robert Doe, MD

Practice address:
Doe Internal Medicine Associates
1234 Your Street
Raleigh, NC 27611
(919)123-4567

Medical Education:
School of Medicine, University of North Carolina, Chapel Hill, NC, USA
Graduated: 1974

Training :
Type: Internship
Specialty:  Internal Medicine
Institution: Johns Hopkins University Medical Center, Baltimore, MD, USA
Year completed: 1975

Type: Residency
Specialty:  Internal Medicine
Institution: Johns Hopkins University Medical Center, Baltimore, MD, USA
Year completed: 1978

Hospital Privileges
Your Hospital, Raleigh, NC, 27611

States Licensed (other than North Carolina)
Maryland

Out-of-Country Licenses
(Leave blank if you have nothing to report)

General Information

Practice Philosophy: 
I practice general internal medicine and provide inpatient and outpatient care to my patients.  I have one office site in Raleigh.  I employ a nurse practitioner who also helps me with the care of patients in my practice. 

Days patients are seen at primary practice location: Monday through Friday

Non-English languages spoken in office: Spanish

Non-English languages spoken by practitioner: None

Years in active clinical practice: 30

Participates in Medicare: Yes
Accepting new Medicare patients: Yes

Participates in Medicaid: Yes
Accepting new Medicaid patients: Yes

Honors and Awards
Alpha Omega Alpha Honor Society; UNC School of Medicine, 1974.
Outstanding Resident Teaching Award, Department of Medicine, Johns Hopkins University, 1979.

Professional volunteer service
I provide medical care at no charge to indigent patients through a nonprofit health clinic in Raleigh, NC
Date of service: One morning (four-six hours) a month

Memberships
Fellow, American College of Physicians
Member, American Medical Association
Member, North Carolina Medical Society

Academic Appointments
Adjunct Faculty, Department of Medicine, UNC School of Medicine 1988 to present

Publications

(NOTE: When a licensee does not provide content for an optional category, the category will indicate that the licensee had the opportunity to provide content but did not.)

Regulatory Actions

(Leave blank if you have nothing to report)

Felonies

(Leave blank if you have nothing to report)

Malpractice

(Leave blank if you have nothing to report)

Misdemeanors

(Leave blank if you have nothing to report)
Hospital Actions

(Leave blank if you have nothing to report)