Active NPI
Lamar Ricardo Wedderburn, DO
- Internal Medicine Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS17834
- Practice address
- 1812 N Mills Ave
Orlando, FL 32803-1834 - Phone
- (407) 897-3499
- NPI assigned
- May 22, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OP61628433 | WA | |
| Internal Medicine Physician | 207R00000X | OS17834 | FL | Primary |
Addresses
Primary practice location
1812 N Mills Ave
Orlando, FL 32803-1834
Mailing address
1812 N Mills Ave
Orlando, FL 32803-1834
Phone (407) 897-3499
Other practice location 1
7125 Murrell Rd Ste B
Melbourne, FL 32940-7999
Phone (321) 361-5585
Other practice location 2
8609 Evergreen Way
Everett, WA 98208
Phone (425) 789-3700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112929500 | Medicaid | FL | |
| N7997 | Other | FL | FL MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- William Carey University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1812 N Mills Ave
Orlando, FL 32803-1834
Phone (407) 897-3499
25 S Terry Ave
Suite 320
Orlando, FL 32805-1843
Phone (844) 407-4070
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
Hospital & facility affiliations
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS17834 | FL | MD | Internal Medicine Physician |
| OP61628433 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Community Health Center of Snohomish County | Current | Accepting new patients | |
| Community Health Center of Snohomish County | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1812 N Mills Ave
Orlando, FL 32803
Phone (407) 897-3499
1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001
8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- lwedderburn4382416@adventhealth.direct-ci.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1730136367
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1023830346
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1053802439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 N MILLS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031834",
"telephone_number": "407-897-3499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 N MILLS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031834",
"telephone_number": "407-897-3499"
}
],
"practiceLocations": [
{
"address_1": "7125 Murrell Rd Ste B",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329407999",
"country_code": "US",
"telephone_number": "321-361-5585",
"fax_number": "321-253-3805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8609 Evergreen Way",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "98208",
"country_code": "US",
"telephone_number": "425-789-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEDDERBURN",
"first_name": "LAMAR",
"middle_name": "RICARDO",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-22",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "OP61628433",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS17834",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112929500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE",
"identifier": "N7997",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.