Organization Active NPI

Anderson Allergy and Asthma, PA

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1104032176
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9100990 Issued in FL
Legal business name
ANDERSON ALLERGY AND ASTHMA, PA
Practice address
63 W Underwood St
Orlando, FL 32806-1118
Phone
(407) 872-1110
Fax
(407) 839-4869
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Warren Anderson, M.D.NPI 1952461584
Title
President
Phone
(407) 872-1110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME46655 FL
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME 7956 FL
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA9100990 FL Primary

Addresses

Primary practice location

63 W Underwood St
Orlando, FL 32806-1118

Mailing address

63 W Underwood St
Orlando, FL 32806-1118
Phone (407) 872-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100301000596 FL Part B Supplier - Clinic/Group Practice 3173667524 Receives reassigned benefits from 1 practitioner
Practice locations: Ocoee, FL; Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1105749Anderson Allergy and Asthma63 W Underwood St, Orlando, FL 32806Certificate of waiverSep 27, 2027

National Provider Directory

National Provider Directory

Locations

1151 Blackwood Ave
Ste 100
Ocoee, FL 34761
Phone (407) 656-9700

63 Underwood St
Orlando, FL 32806
Phone (321) 423-3815

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104032176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 W UNDERWOOD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061118",
            "telephone_number": "407-872-1110",
            "fax_number": "407-839-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W UNDERWOOD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061118",
            "telephone_number": "407-872-1110",
            "fax_number": "407-839-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON ALLERGY AND ASTHMA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-872-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME46655",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 7956",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.