JOSE R. FORADADA, III, MD, P.A. (NPI# 1164766002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164766002 |
| Entity Type | Organization |
| Organization Name | JOSE R. FORADADA, III, MD, P.A. |
| Practice Address |
4710 N. Habana Ave. Suite 307 Tampa FL 33614-7151 |
| Practice Telephone | 8138742000 |
| Mailing Telephone | 8138742000 |
| Mailing Fax Number | 8138749303 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Authorized Official Name | DR. JOSE RAMON FORADADA III (PRESIDENT) |
| Authorized Official Telephone | 8138742000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP3390982 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP9263175 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
ME0056885 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 062490000 | 05 | |
| FL | MEDICAID GROUP | 273113400 | 01 |
| Street Address |
4710 N. HABANA AVE. SUITE 307 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851638167 | Ernesto J. Millan Md. Pa. | Psychiatry & Neurology | 5110 N. Habana Ave. Suite #1, Tampa, FL 33614-6873 | 2013-01-07 |
| 1508895905 | Raymond Fernandez | Psychiatry & Neurology | 2508 W Virginia Ave, Suite B, Tampa, FL 33607-6326 | 2006-06-30 |
| 1215999446 | Bay Regional & Intl Inst. of Neurology, Inc | Psychiatry & Neurology | 2508 W. Saint Isabel Street, Suite A, Tampa, FL 33607-6380 | 2006-04-04 |
| 1659606606 | Carolyn M. Carey, Md, Pa | Psychiatry & Neurology | 12220 Bruce B Downs Blvd, Tampa, FL 33612-9201 | 2009-10-08 |
| 1174755110 | Eric Roberto Vernier | Psychiatry & Neurology | 508 S Habana Ave, Suite 340, Tampa, FL 33609-4181 | 2009-08-10 |
| 1437304102 | Carolyn M. Carey, Md, Pa | Psychiatry & Neurology | 2 Tampa General Cir, 7th Floor, Tampa, FL 33606-3603 | 2008-11-22 |
| 1700038361 | Sleepwell, Inc | Psychiatry & Neurology | 2508 W. Saint Isabel Street, Suite B, Tampa, FL 33607-6380 | 2008-10-15 |
| 1255581070 | Sagarika Nallu | Psychiatry & Neurology | 13101 Bruce B Downs Blvd, Mdc105, Tampa, FL 33612-3803 | 2008-09-29 |
| 1316158116 | Christine A Matarese | Psychiatry & Neurology | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2007-05-24 |
| 1326264177 | Radhakrishna K. Rao | Psychiatry & Neurology | 2508 W. Saint Isabel Street, Suite A, Tampa, FL 33607-6380 | 2007-04-18 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.