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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHLEEN ELIZABETH WANDELL PA-S
NPI 1134053572
Physician Assistant in Syracuse, NY

Active since June 10, 2026
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5540 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Kathleen Elizabeth Wandell Pa-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN ELIZABETH WANDELL PA-S (NPI 1134053572) is an individual physician assistant in Syracuse, New York, licensed in New York (036630-01) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1134053572
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHLEEN ELIZABETH WANDELLCredential: PA-S
Location Address750 E ADAMS STSyracuse, NY 13210-1834
Mailing Address4378 Georgian Ct Apt A15Liverpool, NY 13090-3993 · (607) 731-8789
Phone(315) 464-5540
Sole ProprietorNo
Enumeration DateJune 10, 2026
Last NPPES UpdateSeptember 25, 2026
NPPES CertifiedSeptember 25, 2026
✔ NPI 1134053572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 036630-01
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
750 E ADAMS ST, Syracuse, NY 13210
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Wandell's NPI number?

The NPI number for Kathleen Wandell is 1134053572. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Where is Kathleen Wandell located?

Kathleen Wandell practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-5540.

What is Kathleen Wandell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Wandell was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.