Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Connor Vanko, PA

Individual provider Surgical Physician Assistant · NPI 1275011066

Connor Vanko, PA is a Physician Assistant in Lockport, New York. Qualified in 2025, 1 year ago. Practices with Mount St Marys Hospital of Niagara Falls, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6001 Shimer Dr
Lockport, NY 14094-6412
Phone: (716) 419-0400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 192 Park Club Ln Ste 100, Williamsville, NY 14221-5270 — (716) 204-1101

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 033962 (NY)
Physical Therapist Taxonomy 225100000X · Licence 043542 (NY)

Record details

NPI number1275011066
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 2, 2018
Last updated in NPPESOctober 18, 2025
Certification dateOctober 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mount St. Marys Hospital Of Niagara Falls — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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