Individual provider Active NPI

Mark John Wehrum, D.O.

  • Maternal & Fetal Medicine Physician
  • Orlando, FL
National Provider Identifier
1649299520
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
OS12635 Issued in FL
Practice address
2415 N Orange Ave Ste 402
Orlando, FL 32804
Phone
(407) 622-0560
Fax
(407) 622-0563
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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 200001021 NC
Maternal & Fetal Medicine Physician 207VM0101X 8149327-1204 UT
Maternal & Fetal Medicine Physician 207VM0101X OS12635 FL Primary

Addresses

Primary practice location

2415 N Orange Ave Ste 402
Orlando, FL 32804

Mailing address

2415 N Orange Ave Ste 402
Orlando, FL 32804-5505
Phone (407) 622-0560

Other practice location 1

147 Moray Ln
Winter Park, FL 32792-4120
Phone (407) 622-0560

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
I20140821001276 FL Practitioner - Obstetrics/Gynecology 4183664725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Midwestern University, Chicago College of Osteopathic Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2415 N Orange Ave
Orlando, FL 32804-5505

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

755 Rinehart Rd
Suite 100
Lake Mary, FL 32746-4885
Phone (407) 834-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
200001021NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Aug 4, 2014 Accepting new patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Aug 4, 2014 Accepting new patients

Locations

1919 E Highway 50
Ste 203
Clermont, FL 34711
Phone (407) 303-1380

2221 North Blvd W
Davenport, FL 33837
Phone (863) 421-7600

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

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

6609 N Wickham Rd
Ste 104
Melbourne, FL 32940
Phone (407) 303-7280

2415 N Orange Ave
Ste 402
Orlando, FL 32804
Phone (407) 303-5815

147 Moray Ln
Winter Park, FL 32792
Phone (321) 304-6249

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mwehrum73535@adventhealth.direct-ci.com

Organizations & group practices 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1649299520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 N ORANGE AVE STE 402",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045505",
            "telephone_number": "407-622-0560",
            "fax_number": "407-622-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 N ORANGE AVE STE 402",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32804",
            "telephone_number": "407-622-0560",
            "fax_number": "407-622-0563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Moray Ln",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327924120",
            "country_code": "US",
            "telephone_number": "407-622-0560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEHRUM",
        "first_name": "MARK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "200001021",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "UT",
            "license": "8149327-1204",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "OS12635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.