Individual provider Active NPI

Wendy L Whitcomb, MD

  • Obstetrics & Gynecology Physician
  • Winter Park, FL
National Provider Identifier
1033107362
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME77781 Issued in FL
Practice address
100 N Edinburgh Dr Ste 200
Winter Park, FL 32792-4125
Phone
(407) 645-5565
Fax
(407) 647-1135
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME77781 FL Primary

Addresses

Primary practice location

100 N Edinburgh Dr Ste 200
Winter Park, FL 32792-4125

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

100 Perth Ln
Winter Park, FL 32792-4197
Phone (407) 645-5565

Other identifiers 1

IdentifierTypeStateIssuer
103356300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080707000096 FL Practitioner - Obstetrics/Gynecology 9638241771 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Jun 30, 2018 Accepting new patients
Women's Care Florida LLC Obstetrics & Gynecology CurrentSince Jul 19, 1999 Accepting new patients

Locations

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

100 N Edinburgh Dr
Ste 200
Winter Park, FL 32792
Phone (407) 645-5565

100 Perth Ln
Winter Park, FL 32792
Phone (407) 645-5565

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1033107362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N EDINBURGH DR STE 200",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924125",
            "telephone_number": "407-645-5565",
            "fax_number": "407-647-1135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Perth Ln",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327924197",
            "country_code": "US",
            "telephone_number": "407-645-5565",
            "fax_number": "407-647-1135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITCOMB",
        "first_name": "WENDY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME77781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103356300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.