DR. DONALD KENNETH WANTUCK M.D.
NPI 1841480316
Specialist in Springfield, MO

Q: What is Donald Wantuck's NPI number?

The NPI number for Donald Wantuck is 1841480316. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Q: What is Donald Wantuck's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Wantuck was last updated on April 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 30, 2007PECOS Enrolled

1540 E EVERGREEN ST, SPRINGFIELD, MO 65803(417) 886-2747(417) 886-2774 Get Directions Write a Review

NPPES record last updated: April 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Donald Kenneth Wantuck M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DONALD KENNETH WANTUCK M.D. (NPI 1841480316) is an individual specialist in Springfield, Missouri, licensed in Missouri (29710) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841480316

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. DONALD KENNETH WANTUCKCredential: M.D.

Location Address1540 E EVERGREEN STSpringfield, MO 65803-4300

Mailing Address1540 E Evergreen StSpringfield, MO 65803-4300 · (417) 886-2747 · Fax (417) 886-2774

Phone(417) 886-2747

Fax(417) 886-2774

Sole ProprietorNo

Enumeration DateJuly 30, 2007

Last NPPES UpdateApril 6, 2015

✔ NPI 1841480316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MO · 29710

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1540 E EVERGREEN ST, Springfield, MO 65803

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Other Identifiers 3

Medicare UPINA12619MO

Medicaid1841480316MO

Medicare PIN324740115

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donald Kenneth Wantuck M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers33 claims33 services$854.94 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARWINDER K DHANOA

Nurse Practitioner (Family)