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

Dr. Shane Corbin Anderson, MD

Individual provider Orthopaedic Surgery Physician · NPI 1952863946

Dr. Shane Corbin Anderson, MD is an Orthopedic Surgery in Lewiston, New York. Qualified in 2019, 7 years ago. Practices with Trinity Medical Wny PC, a 201-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5300 Military Rd
Lewiston, NY 14092-1903
Phone: (530) 012-7015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 336964 (NY)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 336964 (NY)

Record details

NPI number1952863946
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address5300 Military Rd, Lewiston, NY 14092-1903

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Trinity Medical Wny Pc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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