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Active NPI 1295989929 Individual Practitioner Male Practitioner

Keith Wandolowski , CRNA

Nurse Anesthetist, Certified Registered • Ocoee, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Keith Wandolowski, CRNA is a certified Nurse Anesthetist, Certified Registered practicing in Ocoee, FL. With approximately 18 years of clinical experience since completing medical education in 2008, Keith Wandolowski delivers high-quality medical care to the local community at 10000 W COLONIAL DR.

Keith Wandolowski is affiliated with Spectrum Health Primary Care Partners and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for other procedure on urinary system through urethra, anesthesia for procedure on gastrointestinal tract using an endoscope, anesthesia for procedure on lower intestine using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10000 W Colonial Dr

Ocoee, FL 34761

Telephone 2068509151
Associated Practice Facility / Clinic
🏢 West Orange Healthcare Inc Facility NPI 1720073737

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Anesthetist, Certified Registered in Ocoee, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +0.6 yrs vs City Avg
City Avg: 17.4 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Ocoee, FL (6544 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wandolowski (18 Years) 18 Yrs
Ocoee Specialty Average (17.4 Years) 17.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00910 Anesthesia for other procedure on urinary system through urethra
13 12 $433.55 $58.19

Medical Specialties & State Licenses

Nurse Anesthetist, Certified Registered Primary Specialty

NUCC Taxonomy Code: 367500000X

State License MA 268405

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Hospital & Practice Group Affiliations

Spectrum Health Primary Care Partners

1840 Wealthy St Se, Grand Rapids, MI 495062921

Phone: 6168855000

Spectrum Health Primary Care Partners

4444 Kalamazoo Ave Se, Kentwood, MI 495084600

Phone: 6163915600

Secondary Practice Locations

41 Mall Rd

Burlington, MA 018050001

Phone: 7817445100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Saurabh Patel , MD

Internal Medicine - Interventional Cardiology

NPI 1003234337

Doctor of Medicine (M.D.)

Nissa Cruz-Vickers , FNP-BC

Nurse Practitioner - Family

NPI 1003407008

Family Nurse Practitioner (Board Certified)

Dr. Andres Torres , DO

Emergency Medicine

NPI 1003884784

Doctor of Osteopathic Medicine (D.O.)

Dr. Tahir Yunus , MD

Internal Medicine

NPI 1013092931

Doctor of Medicine (M.D.)

Kathline Auguste

Student in an Organized Health Care Education/Training Program

NPI 1013851328
Dr. William Bradford , MD

Anesthesiology - Pain Medicine

NPI 1023046869

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 02, 2019

Registered at 10000 W COLONIAL DR, OCOEE, FL 34761 (Tel: 2068509151)

📍
Updated Business Mailing Address January 02, 2019

Registered at 14161 BARONESS CT, ORLANDO, FL 328287801 (Tel: 2068509151)

NPI Profile Active November 11, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2010

Registered at 41 MALL RD, BURLINGTON, MA 018050001 (Tel: 7817445100)

📍
Updated Business Mailing Address November 11, 2010

Registered at 41 MALL RD, BURLINGTON, MA 018050001 (Tel: 7817445100)

👤
Provider Name / Credentials Updated November 11, 2010

Recorded as KEITH WANDOLOWSKI, CRNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2010

Nurse Anesthetist, Certified Registered (License #268405 in MA)

🟢
Initial NPI Registration & Enumeration November 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295989929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2008
Last Update: January 02, 2019
Sole Proprietor: No

Mailing Address

14161 Baroness Ct

Orlando, FL 328287801

Phone: 2068509151

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.