Individual provider Active NPI

Wendelly Judith Vasquez, M.D.

  • Obstetrics & Gynecology Physician
  • Ocoee, FL
National Provider Identifier
1093044588
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME122711 Issued in FL
Practice address
885 Sedalia St Ste 100
Ocoee, FL 34761-3164
Phone
(407) 294-2994
NPI assigned
Dec 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 255810 NY
Obstetrics & Gynecology Physician 207V00000X 25MA08682800 NJ
Obstetrics & Gynecology Physician 207V00000X ME122711 FL Primary

Addresses

Primary practice location

885 Sedalia St Ste 100
Ocoee, FL 34761-3164

Mailing address

885 Sedalia St Ste 100
Ocoee, FL 34761-3164

Other practice location 1

10000 W Colonial Dr
Ocoee, FL 34761-3400
Phone (407) 857-2502

Other practice location 2

10000 W Colonial Dr
Ocoee, FL 34761-3400
Phone (407) 857-2502

Other practice location 3

380 Celebration Pl Fl 2
Celebration, FL 34747-4606
Phone (321) 939-3553

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
I20171205000085 FL Practitioner - Obstetrics/Gynecology 8224154547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Woman Healthcare PAGroup PAC ID 6305892761, 2 clinicians

Practice addresses (Care Compare)

885 Sedalia St
Suite 100
Ocoee, FL 34761-3164
Phone (407) 294-2994

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08682800NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Oct 30, 2017 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 30, 2017 Accepting new patients
Total Woman Health Care PA Obstetrics & Gynecology CurrentSince Jul 2, 2019 Accepting new patients

Locations

380 Celebration Pl
Fl 2
Kissimmee, FL 34747
Phone (407) 303-4190

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

885 Sedalia St
Ste 100
Ocoee, FL 34761
Phone (407) 294-2994

8690 Point Cypress Dr
Ste 210
Orlando, FL 32836

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: wvasquez56247@adventhealth.direct-ci.com
  • Direct secure messaging: wendelly.vasquez@twhp-fl.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/14176/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1093044588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 SEDALIA ST STE 100",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 SEDALIA ST STE 100",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613164",
            "telephone_number": "407-294-2994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 W Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347613400",
            "country_code": "US",
            "telephone_number": "407-857-2502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10000 W Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347613400",
            "country_code": "US",
            "telephone_number": "407-857-2502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Celebration Pl Fl 2",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347474606",
            "country_code": "US",
            "telephone_number": "321-939-3553",
            "fax_number": "321-939-3552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "WENDELLY",
        "middle_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "255810",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08682800",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME122711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.