Organization Active NPI

Jose Andrade MD PA

  • Allergy Physician
  • Orlando, FL
National Provider Identifier
1386872042
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
ME0049328 Issued in FL
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
Jul 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X ME0049328 FL Primary

Addresses

Primary practice location

5412 Curry Ford Rd
Orlando, FL 32812-8522

Mailing address

5412 Curry Ford Rd
Orlando, FL 32812-8522
Phone (407) 658-7882

Other practice location 1

322 W Oak St
Kissimmee, FL 34741-4443
Phone (407) 658-7882

Other practice location 2

322 W Oak St
Kissimmee, FL 34741-4443
Phone (407) 658-7882

Other identifiers 12

IdentifierTypeStateIssuer
18251OtherFLWELLCARE
003495300MedicaidFL
142941OtherONE HEALTH PLAN
18251OtherFLHEALTHESE
624969OtherFLAETNA
03722OtherBCBS
0110451OtherFLGHI
02363OtherUNIVERSAL HEALTH
11416701OtherFLCITRUS
47817071-008OtherFLCIGNA
201227OtherFLAMERIGROUP
142941OtherOHP

Other names 1

  • Allergy Asthma Immunology Care of Central FL Doing business as

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 4

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": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1386872042",
    "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",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414443",
            "country_code": "US",
            "telephone_number": "407-658-7882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOSE ANDRADE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "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": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME0049328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "18251",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003495300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH PLAN",
            "identifier": "142941",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHESE",
            "identifier": "18251",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "624969",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03722",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0110451",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL HEALTH",
            "identifier": "02363",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS",
            "identifier": "11416701",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "47817071-008",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "201227",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHP",
            "identifier": "142941",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy Asthma Immunology Care of Central FL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.