Provider Demographics
NPI:1447238852
Name:HOOD, CATHLEEN SLOAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHLEEN
Middle Name:SLOAN
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 1:793 MAIN RD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02790-4358
Mailing Address - Country:US
Mailing Address - Phone:508-636-7890
Mailing Address - Fax:508-636-7299
Practice Address - Street 1:793 MAIN RD
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:MA
Practice Address - Zip Code:02790-4358
Practice Address - Country:US
Practice Address - Phone:508-636-7890
Practice Address - Fax:508-636-7299
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-05
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76789207Q00000X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000021127OtherBMC HEALTHNET PLAN
MA076789OtherTUFTS HEALTH PLAN
MA3109348Medicaid
MA70219OtherHARVARD PILGRIM HP
MAF13062Medicare UPIN
MA3109348Medicaid