Individual provider Active NPI

Wendy Sharon Perrott, M.D

  • Obstetrics & Gynecology Physician
  • Tavares, FL
National Provider Identifier
1679635676
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
66695 Issued in FL
Practice address
1840 Classique LN
Tavares, FL 32778-5748
Phone
(352) 483-3730
Fax
(352) 508-9661
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME66695 FL
Obstetrics & Gynecology Physician 207V00000X 66695 FL Primary

Addresses

Primary practice location

1840 Classique LN
Tavares, FL 32778-5748

Mailing address

309 Lakeshore Pointe Blvd
Mount Dora, FL 32757-5402
Phone (352) 483-3730

Other identifiers 1

IdentifierTypeStateIssuer
375664500MedicaidFL

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
I20250519001777 FL Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 0143239939

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 Medicine

State licenses

LicenseStateTypeSpecialty
66695FLMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: wendy.perrott.1@17157.direct.athenahealth.com
  • Direct secure messaging: wendy.perrott.1@20869.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1679635676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 LAKESHORE POINTE BLVD",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575402",
            "telephone_number": "352-483-3730",
            "fax_number": "352-508-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 CLASSIQUE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785748",
            "telephone_number": "352-483-3730",
            "fax_number": "352-508-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERROTT",
        "first_name": "WENDY",
        "middle_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME66695",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "66695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375664500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.