Provider Demographics
NPI:1245258995
Name:HOOD, LESLIE R (DO)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:R
Last Name:HOOD
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:100 E CAMPUS VIEW BLVD
Mailing Address - Street 2:STE 160
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4647
Mailing Address - Country:US
Mailing Address - Phone:614-396-4750
Mailing Address - Fax:614-396-4742
Practice Address - Street 1:3525 OLENTANGY RIVER RD
Practice Address - Street 2:STE 5360
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3937
Practice Address - Country:US
Practice Address - Phone:614-340-7747
Practice Address - Fax:614-340-7742
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2013-05-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH340031702085R0202X, 2085R0204X, 2085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH34003170OtherMEDICAL LICENSE
KY7100080790Medicaid
KY7100080790Medicaid
OH4169606Medicare UPIN
C02504Medicare UPIN