Active NPI
Ted Brian Hood, PA-C
- Physician Assistant
- Louisville, KY
National Provider Identifier
1093775140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA709
- Practice address
- 676 S Floyd St Ste 200
Louisville, KY 40202-1840 - Phone
- (502) 629-2804
- Fax
- (502) 629-3132
- NPI assigned
- Mar 24, 2006
- Last updated
- Oct 19, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA709 | KY | Primary |
Addresses
Primary practice location
676 S Floyd St Ste 200
Louisville, KY 40202-1840
Mailing address
PO Box 776347
Chicago, IL 60677-6347
Phone (502) 272-5052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100400770 | Medicaid | KY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thood157249@direct.nortonhealthcare.org | ||
| FHIR URL | https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA709 | KY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1093775140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776347",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776347",
"telephone_number": "502-272-5052",
"fax_number": "502-629-6217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 S FLOYD ST STE 200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021840",
"telephone_number": "502-629-2804",
"fax_number": "502-629-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOD",
"first_name": "TED",
"middle_name": "BRIAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100400770",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thood157249@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "676 S Floyd St Ste 200",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402021840",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "676 S Floyd St Ste 200",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402021840",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.