Individual provider Active NPI

Susan Wehr, MD

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1770535205
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME60204 Issued in FL
Practice address
5771 Roosevelt Blvd
Clearwater, FL 33760-3407
Phone
(727) 523-3254
Fax
(727) 523-3251
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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 ME60204 FL Primary

Addresses

Primary practice location

5771 Roosevelt Blvd
Clearwater, FL 33760-3407

Mailing address

5771 Roosevelt Blvd
Clearwater, FL 33760-3407
Phone (727) 523-3254

Other identifiers 1

IdentifierTypeStateIssuer
058371501MedicaidFL

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
I20100215000244 FL Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 7719021724 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospice of the Florida Suncoast, Inc. Internal Medicine CurrentSince Aug 4, 2022 Accepting new patients
Empath Health Pharmaceuticals, LLC CurrentSince Aug 4, 2022 Accepting new patients
Terrence T Hopkins MD, PA Past Accepting new patients

Locations

5771 Roosevelt Blvd
Ste 610
Clearwater, FL 33760
Phone (727) 523-2160

5771 Roosevelt Blvd
Clearwater, FL 33760
Phone (727) 523-2480

6310 Capital Dr
Lakewood Ranch, FL 34202
Phone (941) 552-7500

300 East Bay Dr
Largo, FL 33770
Phone (317) 919-2466

7411 114th Ave
Ste 310
Largo, FL 33773
Phone (727) 547-2323

2675 Tampa Rd
Palm Harbor, FL 34684
Phone (727) 467-7423

6770 102nd Ave N
Pinellas Park, FL 33782
Phone (727) 523-2460

3050 1st Ave S
St Petersburg, FL 33712
Phone (727) 209-3500

Organizations & group practices 3

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1770535205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5771 ROOSEVELT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603407",
            "telephone_number": "727-523-3254",
            "fax_number": "727-523-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 ROOSEVELT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603407",
            "telephone_number": "727-523-3254",
            "fax_number": "727-523-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHR",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME60204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058371501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.