Active NPI
Wendellenna Suesanna Mays, MD
- Internal Medicine Physician
- Clermont, FL
National Provider Identifier
1477584076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME86092
- Practice address
- 3130 Citrus Tower Blvd Ste a
Clermont, FL 34711 - Phone
- (352) 404-6900
- Fax
- (352) 404-6904
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME86092 | FL | Primary |
Addresses
Primary practice location
3130 Citrus Tower Blvd Ste a
Clermont, FL 34711
Mailing address
3130 Citrus Tower Blvd Ste a
Clermont, FL 34711-6801
Phone (352) 404-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266115200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME86092 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Lake Internal Medicine PA | Past | Accepting new patients | |
| Ez Access Docs, PA | Internal Medicine | Past | Accepting new patients |
| Ernesto Zavaleta, MD, PA | Internal Medicine | Past | Accepting new patients |
| Lake Hospital Care Associates PA | Past | Accepting new patients | |
| Central Florida Internists, Inc. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Saint Cloud, FL
- NPI 1811918709
-
- Internal Medicine Physician
- Clermont, FL
- NPI 1649268202
-
- Internal Medicine Physician
- Clermont, FL
- NPI 1194083436
-
- Hospitalist Physician
- Tavares, FL
- NPI 1952512337
-
- Adult Medicine Physician
- Clermont, FL
- NPI 1801838313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1477584076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 CITRUS TOWER BLVD STE A",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116801",
"telephone_number": "352-404-6900",
"fax_number": "352-404-6904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 CITRUS TOWER BLVD STE A",
"city": "CLERMONT",
"state": "FL",
"postal_code": "34711",
"telephone_number": "352-404-6900",
"fax_number": "352-404-6904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYS",
"first_name": "WENDELLENNA",
"middle_name": "SUESANNA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME86092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "266115200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.