DR. NATHAN ROBERT WANDERMAN M.D. NPI 1033598321

NPI Information

  • NPI: 1033598321
  • Provider Name: DR. NATHAN ROBERT WANDERMAN, M.D.
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4040 RADIO DR
    WOODBURY, MN
    ZIP 55129
  • Phone: (651) 439-8807

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NPI Details

DR. Nathan Robert Wanderman, M.D. is an orthopaedic surgery of the spine orthopaedic surgery in Woodbury, MN with 11 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. DR. Nathan Robert Wanderman, M.D. NPI is 1033598321. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4040 RADIO DR
WOODBURY, MN
ZIP 55129-237
Phone: (651) 439-8807
Fax: (651) 439-0232

The NPI 1033598321 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Spinal fusion (HCPCS:NAN02)
  • Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 5/20/2015 and was last updated on 10/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine60951MINNESOTAYes
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine75628WISCONSINNo
3207X00000XOrthopaedic Surgery60951MINNESOTANo
4207X00000XOrthopaedic Surgery75628WISCONSINNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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