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

Gary S. Anderson, PA

Individual provider Physician Assistant · NPI 1720064918

Gary S. Anderson, PA is a Physician Assistant in Washington, District of Columbia. Qualified in 1992, 34 years ago. Practices with Mnr Industries, LLC, a 143-clinician group, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia.

Years since qualifying
34
Licensed in
DC
In the registry since
2005
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

5255 Loughboro Rd NW
Washington, DC 20016-2695
Phone: (202) 537-4080
Fax: (202) 537-4588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA216 (DC)

Record details

NPI number1720064918
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 20, 2005
Last updated in NPPESJuly 18, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Mnr Industries, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations18 on file with Medicare

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