Individual provider Active NPI

Douglas Robert Hood, P.A.

  • Medical Physician Assistant
  • New Haven, CT
National Provider Identifier
1710995204
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
000270 Issued in CT
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

Updated by the provider on Aug 8, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.