Individual provider Active NPI

Wendellenna Suesanna Mays, MD

  • Internal Medicine Physician
  • Clermont, FL
National Provider Identifier
1477584076
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME86092 Issued in FL
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

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
266115200MedicaidFL

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

LicenseStateTypeSpecialty
ME86092FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Lake Internal Medicine PA PastSince Dec 12, 2003 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.

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.

Verify at the official NPI Registry.