Investigator Gazetteer Registration Only one Investigator per registration Only US Investigators. No fees. Terms and Privacy Policy. Registration Form Submission Type – New Registrations and Updates will be posted within one working week. Submission Type (required) New RegistrationUpdate Previous Registration Investigator Information Investigator’s First Name (required) Investigator’s Last Name (required) NOTE: Check email. Must be correct. All communications such as trial proposals will be sent to this email. Investigator's Email (required) Investigator’s Prefix (required) Dr. Investigator’s Academic Degrees - Multiple Selections Possible (required) MDPhDMBADDSPharmDMasterBachelor Investigator’s Medical Speciality - Select One (required) AllergyAnasthesiologyCardiologyCritical CareDentalDermatologyEar Nose ThroatEmergency MedicineEndocrinologyFamily MedicineGastroenterologyGeneral MedicineGeneticsGeriatricsGynecologyHematologyHepatologyImmunologyInfectious DiseasesInternal MedicineLaboratory MedicineNeurologyObstetricsOncologyOphthalmologyOrthopedicsPediatricsPharmacologyPsychiatric DisordersPulmonaryRadiologyRehabilitationRheumatologySport MedicineSurgeryUrology Investigator's Bio - Truncated at 150 words (put NA if no BIO) Investigator’s Bio (required) Number of Trials Conducted by Investigator Annually - Average (required) Trials per year: 0Trials per year: 1-2Trials per year: 3-4Trials per year: 5-6Trials per year: 7-8Trials per year: 9-10Trials per year: >10 Investigator’s Trial Interest – List maximum seven (7) conditions / diseases (separator, comma sign) Condition / Disease (required) Preferred Study Type(s) - Multiple Selections Possible (required) Industry-SponsoredNIH etcInvestigator-Initiated Preferred Study Phase(s) - Multiple Selections Possible (required) Phase I.Phase II.Phase III.Phase IV.Observational Studies Preferred Study Product(s) - Multiple Selections Possible (required) DrugsVaccinesMedical DevicesCell TherapiesNatural ProductsMedical DiagnosticsRadiology / ImagingMedical ProceduresSurgery Study Site / Medical Clinic Information Site Name (required) Site Location - Address (required) Site Location - City (required) Site Location - State US First (required) AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming Site Location - Zip (required) Site Location - Country (required) USACanadaOther The phone number will be listed on the Clinical Investigator Gazetteer website. You can avoid this by not giving the phone number below - give NA. Site Contact – Phone (required) The site's website will be listed on the Clinical Investigator Gazetteer website. You can avoid this by not giving the website below - give NA. Site Website (required) NOTE: Check email. Must be correct. Some general information will be sent to this email. Site Email - Contact (required) Study Site Description - Truncated at 150 words (put NA if no description) Site Study Services (required)) Study Site / Medical Clinic Characteristics Clinic Type (required) AcademicNIHPublic HospitalPrivate HospitalPublic ClinicPrivate ClinicDedicated Research ClinicOther Site Type (required) Trial Organization/AcademicTrial NetworkStand AloneOther IRB Type (required) Institutional IRBGovernmental IRBCentral IRB Declaration by Investigator I understand the terms of this submission and accept the terms (required) YesNo