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Healthcare providers are the backbone of the healthcare industry. In this article, we’ll define the term “healthcare provider” and explain how it relates to nursing home abuse.

Key Takeaways 

  • A healthcare provider is any individual or entity that provides medical treatment or care
  • Healthcare providers include primary care providers, nurses, pharmacists, specialists, and a variety of facilities and businesses
  • Healthcare providers working in nursing homes have a duty of care to their patients 
  • Any intentional or unintentional harm done to a nursing home resident by a staff member is considered negligence and nursing home abuse 

What Is a Healthcare Provider?

A healthcare provider is any professional, facility, or business that provides medical treatment or care. Healthcare providers play an important role in the healthcare industry, helping patients receive the care they need. 

In the United States, health insurance plans maintain agreements with a wide range of healthcare providers that are considered to be in their network. Most insurance plans will encourage or require their members to use in-network healthcare providers. 

Who Counts as a Healthcare Provider?

Healthcare providers can be split up into a few different categories: primary care, nursing care, drug therapy, specialty care, and non-human entities.

Primary care providers are the first people that individuals usually see for checkups and health problems. They manage patients’ overall health. Primary care providers include:

  • Medical doctors (MDs) specializing in internal medicine, family practice, or pediatrics
  • Obstetricians/Gynecologists (OB/GYN)
  • Nurse practitioners (NPs)
  • Physician assistants (PAs)

Nursing care providers are the first points of contact within a care team, but they are not medical doctors. This category includes:

  • Licensed practical nurses (LPNs)
  • Registered nurses (RNs)
  • Nurse practitioners (NPs)
  • Clinical nurse specialists (CNSs)
  • Certified nurse midwives (CNMs)
  • Certified registered nurse anesthetists (CNRAs)

Drug therapists are trained to deal with prescriptions and medications. This category mainly includes licensed pharmacists. 

Specialty care providers are medical professionals in various specialties including:

  • Allergists
  • Anesthesiologists
  • Cardiologists
  • Dermatologists
  • Endocrinologists
  • Gastroenterologists
  • General surgeons
  • Hematologists
  • Immunologists
  • Infectious disease specialists 
  • Nephrologists
  • Neurologists
  • Obstetrics/gynecologists (OB/GYNs)
  • Oncologists
  • Ophthalmologists
  • Orthopedists
  • Otorhinolaryngologists (Ear, nose, and throat or ENT specialists)
  • Physical therapists and rehabilitative medicine specialists 
  • Psychiatrists 
  • Pulmonary specialists 
  • Radiologists
  • Rheumatologists
  • Urologists

There are also organizations, facilities, and businesses that count as healthcare providers. These include:

  • Urgent care clinics
  • Durable medical equipment companies
  • Hospitals
  • Laboratories
  • Emergency departments
  • Imaging facilities
  • Surgery clinics
  • Medical supply companies

Note that an insurance company does not qualify as a healthcare provider as they do not render healthcare services. 

Healthcare Providers and Nursing Home Abuse

Nursing home residents interact with a number of healthcare providers including medical doctors and nurses. The nursing home itself is considered to be a licensed healthcare residence. As such, nursing homes and their staff are required to meet a duty of care to provide their patients with a high standard of care and keep them safe from harm. A breach of this duty may be considered negligence. 

Any intentional or unintentional harming of a nursing home resident by a nursing home staff member is considered to be nursing home abuse. Victims of nursing home abuse may be eligible for compensation for their pain and suffering. If you or a loved one have experienced nursing home abuse, it is recommended that you contact an experienced nursing home abuse attorney to learn about your options.

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