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

Individual provider Physician Assistant · NPI 1629760855

Shane Grayson, PA-C is a Physician Assistant in Buffalo, New York. Qualified in 2023, 3 years ago. Practices with University of Pittsburgh Physicians, a 4,127-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

34 Benwood Ave
Buffalo, NY 14214-1761
Phone: (716) 986-9199
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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 030442 (NY)

Record details

NPI number1629760855
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 25, 2023
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023
Mailing address1519 Summit St, White Oak, PA 15131-1705

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Of Pittsburgh Physicians — 4127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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