Provider Demographics
NPI:1063487429
Name:HOOD, ANTOINETTE FOOTE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTOINETTE
Middle Name:FOOTE
Last Name:HOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-5629
Mailing Address - Fax:757-446-6000
Practice Address - Street 1:721 FAIRFAX AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-2007
Practice Address - Country:US
Practice Address - Phone:757-446-5629
Practice Address - Fax:757-446-6000
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101231282207N00000X, 207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA294009OtherUHC/MAMSI
VA441718OtherANTHEM
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherVIRGINIA PREMEIR HEALTH
VA-005OtherTRICARE/CHAMPUS
NC89064HRMedicaid
VAPAROtherCORVEL/CORCARE
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherMULTIPLAN
VAPAROtherUSA MANAGED CARE
VA005901995Medicaid
NC064HROtherBC/BS
VA39472OtherSENTARA OPTIMA
VAPAROtherCIGNA
VAPAROtherAETNA
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherVIRGINIA PREMEIR HEALTH
NC89064HRMedicaid