Provider Demographics
NPI:1104956655
Name:ROGER W HOOD MD PA
Entity type:Organization
Organization Name:ROGER W HOOD MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWARTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-402-0059
Mailing Address - Street 1:12200 W 106TH ST STE 400
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2305
Mailing Address - Country:US
Mailing Address - Phone:913-894-2121
Mailing Address - Fax:913-894-9592
Practice Address - Street 1:12200 W 106TH ST STE 400
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66215-2305
Practice Address - Country:US
Practice Address - Phone:913-894-2121
Practice Address - Fax:913-894-9592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-20021207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1528072782OtherNPI
KSDG2850OtherMEDICARE RAILROAD GROUP
KS1528072782OtherNPI
KSC50425Medicare UPIN