Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eric J Wannamaker, MD

Individual provider Diagnostic Radiology Physician · NPI 1245619808

Eric J Wannamaker, MD is a Diagnostic Radiology in Phoenix, Arizona. Graduated from University of Colorado School of Medicine, Aurora in 2015, 11 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Colorado.

Years since qualifying
11
Trained at
University of Colorado School of Medicine, Aurora
Licensed in
AZ, CO
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12631 E 17th Ave, Aurora, CO 80045-2527 — (303) 724-1989

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 62401 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence DR.0064273 (CO)

Record details

NPI number1245619808
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2015
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023
Mailing address5777 E Mayo Blvd, Phoenix, AZ 85054-4502

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Graduated 2015 (11 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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