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

Keenan C. Wanamaker, DO

Individual provider Surgery Physician · NPI 1972508968

Keenan C. Wanamaker, DO is a Vascular Surgery in Montgomery, Alabama. Graduated from Michigan State University College of Osteopathic Medicine in 1995, 31 years ago. Practices with Lakeside Heart and Vascular Center PLLC, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama and Arizona.

Years since qualifying
31
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
AL, AZ
In the registry since
2005
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

7085 Sydney Curv
Montgomery, AL 36117-3509
Phone: (334) 246-4774
Fax: (334) 246-2450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 3721 (AZ)
Surgery Physician Taxonomy 208600000X · Licence 3721 (AZ)
Surgery Physician Taxonomy 208600000X · Licence DO-900 (AL)

Record details

NPI number1972508968
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 16, 2005
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021
Mailing address7085 Sydney Curv, Montgomery, AL 36117-3509

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1995 (31 years in practice)
Group practice Lakeside Heart And Vascular Center Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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