Active NPI
Wellington A Esquea, PA
- Physician Assistant
- Ocoee, FL
National Provider Identifier
1700090099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9100791
- Practice address
- 1551 Boren Dr
Suite a
Ocoee, FL 34761-2966 - Phone
- (407) 877-8300
- Fax
- (407) 877-8841
- NPI assigned
- May 9, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9100791 | FL | Primary |
Addresses
Primary practice location
1551 Boren Dr
Suite a
Ocoee, FL 34761-2966
Mailing address
1551 Boren Dr Ste a
Ocoee, FL 34761-2966
Phone (407) 395-2037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9100791 | Other | FL | MEDICAL LICENSE |
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9100791 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocoee Pediatrics | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Physician Assistant | Past | Accepting new patients |
Locations
1551 Boren Dr
Ste A
Ocoee, FL 34761
Phone (407) 395-2037
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.
-
- Pediatrics Physician
- Ocoee, FL
- NPI 1912120627
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1700090099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 BOREN DR STE A",
"city": "OCOEE",
"state": "FL",
"postal_code": "347612966",
"telephone_number": "407-395-2037",
"fax_number": "407-395-2038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 BOREN DR",
"address_2": "SUITE A",
"city": "OCOEE",
"state": "FL",
"postal_code": "347612966",
"telephone_number": "407-877-8300",
"fax_number": "407-877-8841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESQUEA",
"first_name": "WELLINGTON",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9100791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "PA9100791",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.