Active NPI
Catherine Marie Wendell, MD
- Emergency Medicine Physician
- St Petersburg, FL
National Provider Identifier
1598798266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME95943
- Practice address
- 1200 7TH Ave N
St Petersburg, FL 33705-1300 - Phone
- (727) 825-1100
- NPI assigned
- Jul 8, 2006
- Last updated
- Aug 3, 2009
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME95943 | FL | Primary |
Addresses
Primary practice location
1200 7TH Ave N
St Petersburg, FL 33705-1300
Mailing address
PO Box 10030
Daytona Beach, FL 32120-0030
Phone (386) 274-7800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275753200 | Medicaid | FL | |
| 54250 | Other | FL | BLUE CROSS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
Locations
1200 7th Ave N
St Petersburg, FL 33705
Phone (727) 820-7764
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1396171518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249257600000",
"number": "1598798266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10030",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321200030",
"telephone_number": "386-274-7800",
"fax_number": "386-274-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 7TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051300",
"telephone_number": "727-825-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDELL",
"first_name": "CATHERINE",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2009-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME95943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275753200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "54250",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.