Individual provider Active NPI

William Lewis Vanduzer, PA

  • Medical Physician Assistant
  • Kane, PA
National Provider Identifier
1750380960
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA001700L Issued in PA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address wvanduzer514677@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040714001037 PA Practitioner - Physician Assistant 6002892908 Reassigns benefits to 2 organizations
I20071128000772 NY Practitioner - Physician Assistant 6002892908 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
4581NYMDSpecialist
MA001700LPAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown Area Medical Associates, L.L.P. Medical CurrentSince Jun 1, 1997 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Nes Medical Services of New York PC Emergency Medicine PastSince May 22, 2022 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

  • Direct secure messaging: vanduzerwl2@kch.securechart.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.