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TIMOTHY VANDUZER MD NPI 1023051760


NPI Information

NPI: 1023051760
Provider Name: TIMOTHY VANDUZER, MD
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

Organization: SHADOW EMERGENCY PHYSICIANS PLLC

PECOS Registration: Yes

Address:
500 N RAINBOW BLVD
SUITE 203
LAS VEGAS, NV
ZIP 89107
Phone: (702) 259-1228
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Timothy Vanduzer, MD is an emergency medical services emergency medicine in Las Vegas, NV with 29 years of experience. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Timothy Vanduzer, MD NPI is 1023051760. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

500 N RAINBOW BLVD
SUITE 203
LAS VEGAS, NV
ZIP 89107-082
Phone: (702) 259-1228
Fax: (702) 259-1272

The NPI 1023051760 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)

The enumeration date for this NPI number is 6/13/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PE0004XEmergency MedicineEmergency Medical Services5710391205UTAHNo
2207PE0004XEmergency MedicineEmergency Medical Services204739NEW YORKNo
3207PE0004XEmergency MedicineEmergency Medical Services8687NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G70540MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.