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Medical Center
50 Irving Street NW
Washington, DC 20422
June 3, 2010
Hospital,
We have enclosed a copy of the requested records for items 2-4. Items 5-6 are of
This request was processed by the undersigned. You may appeal the
determination made in this response to:
If you should choose to file an appeal, please include a copy of this letter with
your appeal and clearly indicate why you disagree with our determination.
Enclosure
PFEIFFER,MICHAEL H NEUROLOGY DUTY STATION: 688
T&L: ~
LAST PP: 10 POSITION INFORMATION PAGE 1
LABOR DIST CODE-1 COST CTR/ORG 82352223 NEUROLOGY
PAY PLAN
OCCUPATION SERIES & TITLE 060258
a PHYSICIAN
ASSIGNMENT
,
/
FUNCTIONAL CODE ... CLINICAL PRACTICE,
COUNSELING &
ANCILLARY MEDICAL
SERVICES
GRADE 15
STEP 01
SALARY 97,987.00
PAY BASIS 1 PER ANNUM
DUTY BASIS 1 FULL-TIME
FLSA
NORMAL HOURS
POSITION NUMBER 000000
COMPETITIVE LEVEL 000
SUPERVISORY LEVEL o
Press RETURN to continue:
- DEPARTMENT OF VETERANS AFFAI'
MEDICAL CENTER
50 Irving Street NW
Washington DC 20422
VAMC
50 Irving Street, NW
Medical Staff Office, 4C 105
Washington, DC 20422
This letter will serve to advise you of the disposition of your request for privileges
or scope of practice at The Washington, D.C. Veterans Affairs Medical Center in
the Department of Neurology.
If you have questions in reference to the information attached please contact the
Medical StaffCredentialing office, Rona Sebastian (202)745-8000 x 5257, Lewis
Beasley (202)745-8000 x 5088, Brenda Talley-Smith (202) 745-8000 x 5530 or
Felicia Shearin (202)745-8000 x 7853. Please remember that you may not work
more than 2 years under your current privileges or scope of practice.
Lewis C. Beasley
Program Specialist, Medical Staff Office
Effective Date:
NAME,----L}t--!.....!..,'~(~---=..:...::(.:...=..l~l/~e...;....,..:::;..6_('--=.f_-=--P_F_c_1-f_--fj_e_-r!L::.-.-_ _ _ __
Service I Specialty _ _ ---L.6
__<_'1_r_,,_L_p-,JI-·-,Jr-----------------
Category of~taff Membership:
j<f Full-time staff I I Part-time staff I I woe
I I Consultant I IOn-Station Fee Basis
I IOn-Station Sharing Agreement I IOn-Station Contract
Request for Approval of Privileges:
( request approval for the Clinica PriV~1 indic ted on the attached form.
After careful review and consideration of the applicant's credentials, clinical competence information and health starus, I:
_---::.V'
___ Recommend Approval alii requellited.
_ _ _ _ Deletions: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
_ _ _ _ Modifications: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
~pprove clinical privileges as reconunended by the Executive Committee of the Medical Staff.
_ _ _ _ Disapprove clinical privileges as reconunended
-='6 -~
Signarure _ _ _ _~_ _..;..(_._ _ _ _ _ _ _ _ _ _ _ Date
You may request privileges for the following procedures considered to be in the realm of
Neurology. Do not select your setting. Your Section or Service Chief is responsible for
selecting the setting of your approved privileges.
Arleri~1 puncture
Arthrocentesis
Paracentesis
Thoracentesis
Lumbar puncture x
Skin biopsy
Sigmoidoscopy
ECG interpretation
Evoked (all)
Performance and \. /
Int...rr\rl>tl'ltit"\n /'
EMG performance and
interpretation
eep study
Performance/interpretation
Botox
Vagal other
stimulator programming
Badofen Pump
programming
Nerve Blocks
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