Healthcare Provider Details

I. General information

NPI: 1750130779
Provider Name (Legal Business Name): HOOD ANESTHESIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 N YORK ST
MUSKOGEE OK
74403-3863
US

IV. Provider business mailing address

921 SHERWOOD DR
LAKE BLUFF IL
60044-2203
US

V. Phone/Fax

Practice location:
  • Phone: 918-683-3451
  • Fax:
Mailing address:
  • Phone: 800-444-6110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: ROBYN HOOD
Title or Position: OWNER
Credential: CRNA
Phone: 800-444-6110