Individual provider Active NPI

Cleveland Ted Hood, MD

  • Family Medicine Physician
  • Mayflower, AR
National Provider Identifier
1356360689
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C-5204 Issued in AR
Practice address
8 North Railroad Avenue
Mayflower, AR 72106-9430
Phone
(501) 470-9780
Fax
(501) 447-0985
NPI assigned
Jul 18, 2006
Last updated
Jun 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C-5204 AR Primary

Addresses

Primary practice location

8 North Railroad Avenue
Mayflower, AR 72106-9430

Mailing address

117 S 2ND St
Augusta, AR 72006-2309
Phone (870) 347-2534

Other identifiers 2

IdentifierTypeStateIssuer
080166162OtherRR MEDICARE
105485001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100125000795 AR Practitioner - Family Practice 0143362442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

8 N Railroad Ave
Mayflower, AR 72106-9697
Phone (501) 470-9780

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C-5204ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince May 5, 2014 Accepting new patients
Arcare Current Accepting new patients
Arcare CurrentSince May 5, 2014 Accepting new patients
Arcare Past Accepting new patients
Arcare Past Accepting new patients

Locations

117 S 2nd St
Augusta, AR 72006

623 N 9th St
#40
Augusta, AR 72006

630 W South St
Benton, AR 72015
Phone (501) 860-7150

8 N Railroad Ave
#42
Mayflower, AR 72106
Phone (501) 470-9780

Interoperability endpoints

  • Direct secure messaging: ted.hood@arcare.directbygreenway.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1356360689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S 2ND ST",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720062309",
            "telephone_number": "870-347-2534",
            "fax_number": "870-347-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 NORTH RAILROAD AVENUE",
            "city": "MAYFLOWER",
            "state": "AR",
            "postal_code": "721069430",
            "telephone_number": "501-470-9780",
            "fax_number": "501-447-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD",
        "first_name": "CLEVELAND",
        "middle_name": "TED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-5204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080166162",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105485001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayflower, AR

Sources for this page

Verify at the official NPI Registry.