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

Marydonna Anderson, PA

Individual provider Physician Assistant · NPI 1518946789

Marydonna Anderson, PA is a Physician Assistant in Kenmore, New York. Qualified in 1996, 30 years ago. Practices with General Physician PC, a 487-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
30
Licensed in
NY
In the registry since
2006
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

2950 Elmwood Ave
Kenmore, NY 14217-1304
Phone: (716) 447-6202
Fax: (716) 447-6202
Show map & directions

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

Additional practice locations (1)

  • 111 N Maplemere Rd Ste 200, Williamsville, NY 14221-3182 — (716) 626-7714

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005907 (NY)

Record details

NPI number1518946789
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 16, 2006
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice General Physician Pc — 487 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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