KEENAN C. WANAMAKER DO NPI 1972508968

NPI Information

  • NPI: 1972508968
  • Provider Name: KEENAN C. WANAMAKER, DO
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7085 SYDNEY CURV
    MONTGOMERY, AL
    ZIP 36117
  • Phone: (334) 246-4774

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NPI Details

Keenan C. Wanamaker, DO is a vascular surgery surgery in Montgomery, AL with 30 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Keenan C. Wanamaker, DO NPI is 1972508968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1995

The provider's business location address is:

7085 SYDNEY CURV
MONTGOMERY, AL
ZIP 36117-509
Phone: (334) 246-4774
Fax: (334) 246-2450

The NPI 1972508968 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.

  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Review by radiologist of both arms or legs arteries image (HCPCS:75716)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch (HCPCS:36247)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)

The enumeration date for this NPI number is 6/16/2005 and was last updated on 5/10/2021.

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
1208600000XSurgery3721ARIZONANo
2208600000XSurgeryDO-900ALABAMANo
32086S0129XSurgeryVascular Surgery3721ARIZONAYes

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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