Active NPI
William Lewis Vanduzer, PA
- Medical Physician Assistant
- Kane, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA001700L
- Practice address
- 4372 Route 6
Kane, PA 16735-3060 - Phone
- (814) 837-4560
- Fax
- (814) 837-7905
- NPI assigned
- Jul 19, 2005
- Last updated
- Aug 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 004581 | NY | |
| Medical Physician Assistant | 363AM0700X | MA001700L | PA | Primary |
| Emergency Medicine Physician | 207P00000X | MA001700L | PA |
Addresses
Primary practice location
4372 Route 6
Kane, PA 16735-3060
Mailing address
4372 Route 6
Kane, PA 16735-3060
Phone (814) 837-4560
Other practice location 1
207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 664-8398
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wvanduzer514677@upmc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4581 | NY | MD | Specialist |
| MA001700L | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamestown Area Medical Associates, L.L.P. | Medical | Current | Accepting new patients |
| The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | Current | Accepting new patients | |
| Nes Medical Services of New York PC | Emergency Medicine | Past | Accepting new patients |
| Upmc Hamot | Past | Accepting new patients | |
| Tenor Health Foundation Sharon, LLC | Past | Accepting new patients |
Locations
73 Buffalo St
Ste 100
Canandaigua, NY 14424
17 Sherman St
Jamestown, NY 14701
Phone (716) 484-0173
207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141
31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306
191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100
Interoperability endpoints
- vanduzerwl2@kch.securechart.com
- wvanduzer514677@upmc.direct-ci.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jones Memorial Hospital
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
-
- Emergency Medicine Physician
- Bath, NY
- NPI 1215455191
-
- Family Medicine Physician
- Erie, PA
- NPI 1518283753
-
- Family Medicine Physician
- Erie, PA
- NPI 1174520654
-
- Emergency Medicine Physician
- Rochester, NY
- NPI 1003075029
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1730599176
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1528010766
Medical
-
dba Sharon Family Medicine Center
- Rural Health Clinic/Center
- Mercer, PA
- NPI 1760296859
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1750380960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4372 ROUTE 6",
"city": "KANE",
"state": "PA",
"postal_code": "167353060",
"telephone_number": "814-837-4560",
"fax_number": "814-837-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4372 ROUTE 6",
"city": "KANE",
"state": "PA",
"postal_code": "167353060",
"telephone_number": "814-837-4560",
"fax_number": "814-837-7905"
}
],
"practiceLocations": [
{
"address_1": "207 Foote Ave",
"address_purpose": "LOCATION",
"city": "Jamestown",
"state": "NY",
"postal_code": "147017077",
"country_code": "US",
"telephone_number": "716-664-8398",
"fax_number": "716-664-8337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDUZER",
"first_name": "WILLIAM",
"middle_name": "LEWIS",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2026-08-18",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "004581",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA001700L",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MA001700L",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wvanduzer514677@upmc.direct-ci.com",
"affiliation": "N",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kane, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.