MR. DOUGLAS ROBERT HOOD P.A. NPI 1710995204

NPI Information

NPI: 1710995204
Provider Name: MR. DOUGLAS ROBERT HOOD, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: NORTHEAST MEDICAL GROUP INC

PECOS Registration: Yes

Address:
330 ORCHARD STREET
SUITE 216
NEW HAVEN, CT
ZIP 06511
Phone: (203) 789-6047
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MR. Douglas Robert Hood, P.A. is a medical physician assistant in New Haven, CT with 45 years of experience. MR. Douglas Robert Hood, P.A. NPI is 1710995204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

330 ORCHARD STREET
SUITE 216
NEW HAVEN, CT
ZIP 06511-430
Phone: (203) 789-6047
Fax: (203) 782-6311

The NPI 1710995204 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 8/8/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		000270	CONNECTICUT	No
2	363A00000X	Physician Assistant		000270	CONNECTICUT	No
3	363AM0700X	Physician Assistant	Medical	000270	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	970000256	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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