Organization Active NPI

Nora D. Jose, MD

  • Pediatric Adolescent Medicine Physician
  • Alexandria, VA
National Provider Identifier
1609035377
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
0101022607 Issued in VA
Legal business name
NORA D. JOSE, MD
Practice address
2616 Sherwood Hall LN
Ste.404
Alexandria, VA 22306-3100
Phone
(703) 360-0300
Fax
(703) 799-7074
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Nora Doctor Jose, M.D.NPI 1649385089
Title
Owner
Phone
(703) 360-0300

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
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 0101022607 VA Primary

Addresses

Primary practice location

2616 Sherwood Hall LN
Ste.404
Alexandria, VA 22306-3100

Mailing address

2616 Sherwood Hall LN
Ste.404
Alexandria, VA 22306-3100
Phone (703) 360-0300

Other identifiers 6

IdentifierTypeStateIssuer
080748OtherVABLUE CROSS BLUE SHIELD
10231496OtherVAAMERIGROUP
080748OtherVAANTHEM HEALTHKEEPERS
4996OtherVACAREFIRST BLUECROSS BLUESHIELD
006742173MedicaidVA
4052942OtherVAAETNA

National Provider Directory

National Provider Directory

Locations

2616 Sherwood Hall Ln
Ste 404
Alexandria, VA 22306
Phone (703) 360-0300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1609035377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN",
            "address_2": "STE.404",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063100",
            "telephone_number": "703-360-0300",
            "fax_number": "703-799-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN",
            "address_2": "STE.404",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063100",
            "telephone_number": "703-360-0300",
            "fax_number": "703-799-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORA D. JOSE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "DOCTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-360-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101022607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "080748",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10231496",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTHKEEPERS",
            "identifier": "080748",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECROSS BLUESHIELD",
            "identifier": "4996",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006742173",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4052942",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.