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

Mark Edgar Kerner, PA

Individual provider Surgical Physician Assistant · NPI 1306297874

Mark Edgar Kerner, PA is a Physician Assistant in Williamsville, New York. Qualified in 2016, 10 years ago. Practices with Kenmore Mercy Hospital, a 54-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
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

36 N Union Rd
Williamsville, NY 14221-5383
Phone: (716) 636-1470
Fax: (888) 886-2563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 019740 (NY)

Record details

NPI number1306297874
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 27, 2016
Last updated in NPPESSeptember 13, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Kenmore Mercy Hospital — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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