Jose Andrade MD PA

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

Legal business name

JOSE ANDRADE MD PA

Practice address

5412 Curry Ford Rd
Orlando, FL 32812-8522

Phone

(407) 658-7882

Fax

(407) 658-7995

NPI assigned

Nov 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jose Andrade, MDNPI 1356330252

Title

President

Phone

(407) 658-7882

Specialties & licenses 2

Addresses

Other identifiers 9

Other names 1

• Allergy Asthma Immunology Care of Central FL Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Jose Andrade MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jose Andrade MD PA

  • Allergy Physician
  • Orlando, FL
  • NPI 1386872042
  NPD tax ID

Locations

Practitioners 3

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

• Jose Andrade, M.D.

  • Allergy Physician
  • Orlando, FL
  • NPI 1356330252
  Medicare reassignment NPD Authorized official
• Elizabeth Justine Deberry, C.R.N.P.

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1073896338
  Medicare reassignment NPD
• Shama Hussain, M.D.

  • Allergy Physician
  • Olrando, FL
  • NPI 1538271952

  Specialist

  Medicare reassignment NPD

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1295037208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 CURRY FORD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328128522",
            "telephone_number": "407-658-7882",
            "fax_number": "407-658-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 CURRY FORD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328128522",
            "telephone_number": "407-658-7882",
            "fax_number": "407-658-7995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414443",
            "country_code": "US",
            "telephone_number": "407-658-7882",
            "fax_number": "407-658-7995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOSE ANDRADE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-658-7882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "0049328",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "01104151",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "18251",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "201227",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "47817071008",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "624969",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTH",
            "identifier": "02636",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600809492",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03722",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003495300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy Asthma Immunology Care of Central FL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jorge L. Mercado Richardson
• Karen Elizabeth Jorge
• Kevin Jorgenson, CRNA
• Zoila Elizabeth Jorro, D.O
• Jose a Ortiz DMD PL
• Jose Andrade MD PA
• Jose I Cardenas MD PA
• Jose Mendez MD PA
• Jalina Jose
• Kristina Marie Jose, M.D.

• Allergy Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Allergy Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.