1427044221 NPI number — MR. RODERICK WILLIAM HOOD PA-C

Table of content: SANDHYA VENKATA SRIKANTOM MD (NPI 1457642373)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427044221 NPI number — MR. RODERICK WILLIAM HOOD PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOOD
Provider First Name:
RODERICK
Provider Middle Name:
WILLIAM
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427044221
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/10/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
801 YORK ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANITOWOC
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54220-4630
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
920-663-9008
Provider Business Mailing Address Fax Number:
920-684-1439

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3500 LUDINGTON ST STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ESCANABA
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49829-4218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
906-553-6093
Provider Business Practice Location Address Fax Number:
906-553-6958
Provider Enumeration Date:
09/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  5601013811 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363A00000X , with the licence number: 1308 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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