Active NPI
Douglas Robert Hood, P.A.
- Medical Physician Assistant
- New Haven, CT
National Provider Identifier
1710995204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 000270
- Practice address
- 330 Orchard Street
Suite 216
New Haven, CT 06511-4430 - Phone
- (203) 789-6047
- Fax
- (203) 782-6311
- NPI assigned
- Aug 3, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 000270 | CT | |
| Physician Assistant | 363A00000X | 000270 | CT | |
| Medical Physician Assistant | 363AM0700X | 000270 | CT | Primary |
Addresses
Primary practice location
330 Orchard Street
Suite 216
New Haven, CT 06511-4430
Mailing address
330 Orchard Street
Suite 216
New Haven, CT 06511-4430
Phone (203) 789-6047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Raphael Faculty Physicians | Physician Assistant | Past | Accepting new patients |
| Neurological Associates of New Haven, P.C. | Past | Accepting new patients | |
| Saint Raphael Healthcare System Affiliated Physicians Inc | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Exclusive Provider Organization
- New Haven, CT
- NPI 1336153683
-
- Internal Medicine Physician
- New Haven, CT
- NPI 1932138138
Physician Assistant
-
- Neurology Physician
- New Haven, CT
- NPI 1063744001
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1710995204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 ORCHARD STREET",
"address_2": "SUITE 216",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114430",
"telephone_number": "203-789-6047",
"fax_number": "203-782-6311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 ORCHARD STREET",
"address_2": "SUITE 216",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065114430",
"telephone_number": "203-789-6047",
"fax_number": "203-782-6311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOD",
"first_name": "DOUGLAS",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "000270",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "000270",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "000270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.