KETURA P. WISNER D.O. – NPI #1205147592
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

KETURA WISNER is a physician located in ALBUQUERQUE, NM. NPPES has assigned the NPI number 1205147592 to KETURA WISNER on July 01, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was previously updated about 3 years ago on Jun 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KETURA WISNER below.

NPI Profile for
KETURA P. WISNER

NPI Number
1205147592
Enumeration Date

(about 16 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KETURA P. WISNER
Credentials
D.O.
Primary location
5700 HARPER DR NE STE 410
ALBUQUERQUE, NM 87109-3585
Phone: (505) 843-7813 Fax: (505) 843-6947
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jun 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (Primary)		 NM A-2079-17
390200000X
- Student in an Organized Health Care Education/Training Program
207V00000X
- Obstetrics & Gynecology		 NM A-2079-17

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KETURA WISNER is affiliated with the following medical group(s):
  • HOSPITAL
    • CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER
      455 ST MICHAEL'S DRIVE
      SANTA FE, NM 87505
    • LOVELACE MEDICAL CENTER
      601 DR MARTIN LUTHER KING JR AVE NE
      ALBUQUERQUE, NM 87102
    • LOVELACE WOMEN'S HOSPITAL
      4701 MONTGOMERY BOULEVARD NE
      ALBUQUERQUE, NM 87109
    • MEMORIAL MEDICAL CENTER
      2450 SOUTH TELSHOR BLVD
      LAS CRUCES, NM 88011
    • PRESBYTERIAN HOSPITAL
      1100 CENTRAL AVENUE SE
      ALBUQUERQUE, NM 87106

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