Provider Demographics
NPI:1396713632
Name:HOOD, PHILIP J (PA)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:J
Last Name:HOOD
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 ASBURY RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-7926
Mailing Address - Country:US
Mailing Address - Phone:540-247-6187
Mailing Address - Fax:
Practice Address - Street 1:307 ASBURY RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-7926
Practice Address - Country:US
Practice Address - Phone:540-247-6187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-11
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110840753363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA017331W12Medicare PIN
VAP00195871Medicare ID - Type UnspecifiedRAILROAD
VAS21455Medicare UPIN