WIDDLER DESHOMMES MD
NPI 1376172015
General Practice in Mount Dora, FL
- Individual
- Male
- General Practice
- PECOS Enrolled
About WIDDLER DESHOMMES
This page provides the complete NPI Profile along with additional information for Widdler Deshommes, a primary care provider established in Mount Dora, Florida with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1376172015 assigned on April 2020. The practitioner's primary taxonomy code is 208D00000X with license number ACN1610 (FL). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1376172015 Verify this NPI
- Provider Name
- WIDDLER DESHOMMES MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4601 N HIGHWAY 19A MOUNT DORA, FL 32757
- Location Phone
- (352) 290-8718
- Mailing Address
- 550 ROUZER ST APOPKA, FL 32712
- Mailing Phone
- (407) 575-0943
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-04-2020
- Last Update Date
- 03-08-2024
- Code Navigator
A primary care provider (PCP) like Widdler Deshommes sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 4540 E Baseline Rd Ste 105
Mesa, AZ 85206
(480) 272-8944 - 425 S Hunt Club Blvd Ste 201
Apopka, FL 32703
(407) 304-9337 - 55 Calle Palma
Arecibo, PR 00612
(787) 650-1030
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ACN1610
- License State
- FL
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 023661 (PR) |
| 2 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 000229-P.A (PR) |
| 3 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 8363 (AZ) |
| 4 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | TPPA363 (FL) |
Medicare Participation & PECOS Enrollment Status
Widdler Deshommes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
MOUNT DORA, FL 32757
MOUNT DORA, FL 32757
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376172015, enumerated as an "individual" on April 04, 2020.
The provider is located at 4601 N HIGHWAY 19A MOUNT DORA, FL 32757 and the phone number is (352) 290-8718.
General Practice with taxonomy code 208D00000X.
