@extends('Admin/layout/master') @section('title', 'Search Phycisian') @section('content')
Search Phycisian
{!! Form::open(['route'=>'physician.show','method'=>"post"]) !!}
{!! Form::label('verion', 'Version', ['class' => 'form-label']) !!} {!! Form::text('version', 2.1, ['class' => 'form-control', 'placeholder' => 'Enter Name', 'readonly']) !!}
{!! Form::label('number', 'Number', ['class' => 'form-label']) !!} {!! Form::text('number', null, ['class' => 'form-control', 'placeholder' => 'Exactly 10 digits']) !!}
{!! Form::label('enumeration_type', 'Enumeration Type', ['class' => 'form-label']) !!} {!! Form::text('enumeration_type', null, [ 'class' => 'form-control', 'placeholder' => 'NPI-1 or NPI-2 (Other criteria required)', ]) !!}
{!! Form::label('taxonomy_description', 'Taxonomy Description', ['class' => 'form-label']) !!} {!! Form::text('mobile', null, [ 'class' => 'form-control', 'placeholder' => 'Exact Description or Exact Specialty or wildcard * after 2 characters', ]) !!}
{!! Form::label('name_purpose', 'Name Purpose', ['class' => 'form-label']) !!} {!! Form::text('name_purpose', null, [ 'class' => 'form-control', 'placeholder' => 'AO or PROVIDER (Other criteria required)', ]) !!}
{!! Form::label('first_name', 'First Name', ['class' => 'form-label']) !!} {!! Form::text('first_name', null, [ 'class' => 'form-control', 'placeholder' => 'Exact name, or wildcard * after 2 characters', ]) !!}
{!! Form::label('use_first_name_alias', 'Use First Name Alias', ['class' => 'form-label']) !!} {!! Form::text('use_first_name_alias', null, [ 'class' => 'form-control', 'placeholder' => 'True or False (Other criteria required)', ]) !!}
{!! Form::label('Last Name', 'Last Name', ['class' => 'form-label']) !!} {!! Form::text('last_name', null, [ 'class' => 'form-control', 'placeholder' => 'Exact name, or wildcard * after 2 characters', ]) !!}
{!! Form::label('organization_name', 'Organization Name', ['class' => 'form-label']) !!} {!! Form::text('organization_name', null, [ 'class' => 'form-control', 'placeholder' => 'Exact name, or wildcard * after 2 characters', ]) !!}
{!! Form::label('address_purpose', 'Address Purpose', ['class' => 'form-label']) !!} {!! Form::text('address_purpose', null, [ 'class' => 'form-control', 'placeholder' => 'LOCATION, MAILING, PRIMARY or SECONDARY. (Other criteria required)', ]) !!}
{!! Form::label('city', 'City', ['class' => 'form-label']) !!} {!! Form::text('city', null, [ 'class' => 'form-control', 'placeholder' => 'Exact city, or wildcard * after 2 characters', ]) !!}
{!! Form::label('state', 'State', ['class' => 'form-label']) !!} {!! Form::text('state', null, [ 'class' => 'form-control', 'placeholder' => '2 Characters (Other criteria required)', ]) !!}
{!! Form::label('postal_code', 'Postal Code', ['class' => 'form-label']) !!} {!! Form::text('postal_code', null, [ 'class' => 'form-control', 'placeholder' => 'Exact Postal Code (5 digits will also return 9 digit zip + 4), or wildcard * after 2 characters', ]) !!}
{!! Form::label('country_code', 'Organization Name', ['class' => 'form-label']) !!} {!! Form::text('country_code', null, [ 'class' => 'form-control', 'placeholder' => 'Exactly 2 characters (if "US", other criteria required)', ]) !!}
{!! Form::label('limit', 'Limit', ['class' => 'form-label']) !!} {!! Form::text('limit', null, [ 'class' => 'form-control', 'placeholder' => 'Limit results, default = 10, max = 200', ]) !!}
{!! Form::label('skip', 'Skip', ['class' => 'form-label']) !!} {!! Form::text('skip', null, ['class' => 'form-control', 'placeholder' => 'Skip first N results, max = 1000']) !!}
{!! Form::label('pretty', 'Response will be formatted with indented lines', ['class' => 'form-label']) !!} {!! Form::checkbox('pretty', 'pretty', false) !!}
{!! Form::submit('Show', ['class' => 'btn btn-primary btn-sm my-2 ']) !!} {{-- Back --}}
{!! Form::close() !!}
@endsection