Jose R. Foradada, III, MD, P.a.

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

ME0056885 Issued in FL

Legal business name

JOSE R. FORADADA, III, MD, P.A.

Practice address

4710 N. Habana Ave.
Suite 307
Tampa, FL 33614-7151

Phone

(813) 874-2000

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jose Ramon Foradada III, M.D.NPI 1841308475

Title

President

Phone

(813) 874-2000

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

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

• Jose R Foradada III, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Tampa, FL
  • NPI 1841308475
  Medicare reassignment NPD Authorized official
• Marlo Caldevilla

  • Pediatric Nurse Practitioner
  • Tampa, FL
  • NPI 1215538988

  Pediatrics

  NPD (past)
• Elizabeth Carmody Carrere, ARNP

  • Pediatric Nurse Practitioner
  • Tampa, FL
  • NPI 1114088499

  Pediatrics

  NPD (past)
• Briana Rosa Jones, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverview, FL
  • NPI 1144728544

  Pediatrics

  NPD (past)
• Nannette Nations Morris, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
  • NPI 1073816120

  Pediatrics

  NPD (past)
• Brooke Alecia Rupert, ARNP

  • Pediatric Nurse Practitioner
  • Tampa, FL
  • NPI 1043672827

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1164766002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 N. HABANA AVE.",
            "address_2": "SUITE 307",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147151",
            "telephone_number": "813-874-2000",
            "fax_number": "813-874-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 N. HABANA AVE.",
            "address_2": "SUITE 307",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147151",
            "telephone_number": "813-874-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE R. FORADADA, III, MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "FORADADA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-874-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME0056885",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP3390982",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9263175",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "273113400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062490000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Cura, Jr., M.D.
• Jose E Alvarez MD PA
• Jose Gonzalez-Soto, Psychiatric Mental Health Nurse Practitioner, PLLC (Jose Gonzalez-Soto NP in Psychiatry)
• Jose Ignacio Lopez, MD., PA
• Jose R Mole MD PA
• Jose W Rodriguez MD PA
• Jose W Rodriguez MD PA
• Siji Jose, ARNP
• Tina Maria Jose, DMD
• Joseph Almaguer DDS PA

• Neurology with Special Qualifications in Child Neurology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.