National Provider Identifier
Shane Corbin Anderson, MD
Shane Corbin Anderson, MD is listed in the NPPES registry with a primary specialty of Sports Medicine (Orthopaedic Surgery) Physician in Lewiston, NY and a listed phone number of (530) 012-7015.
Source: public NPPES record, last updated July 17, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1952863946
- Provider Type
- Individual
- Primary Specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Enumeration Date
- April 01, 2019
- Last Updated
- July 17, 2025
Practice Location
- 5300 Military RD
- Lewiston, NY 14092-1903
Phone: (530) 012-7015
Specialties
- Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X)
- Orthopaedic Surgery Physician (207X00000X)
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Biography
Dr. Shane Anderson is an orthopaedic surgeon practicing with Catholic Health in Lewiston, where his background emphasizes sports medicine and joint preservation. He earned his MD at the University of Illinois College of Medicine in Rockford, completed orthopaedic surgery residency at the University at Buffalo, and then pursued an orthopaedic sports medicine fellowship at Washington University. Catholic Health notes that during his fellowship he served as an assistant physician for Washington University athletics as well as the St. Louis Blues and St. Louis City.
Full Record
- NPI
- 1952863946
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Shane
- Middle Name
- Corbin
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 5300 Military RD
- Mailing City
- Lewiston
- Mailing State
- NY
- Mailing ZIP Code
- 14092-1903
- Mailing Country
- US
- Mailing Phone
- (314) 514-3500
- Mailing Fax
- (716) 297-1701
- Practice Street Address
- 5300 Military RD
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-1903
- Practice Country
- US
- Practice Phone
- (530) 012-7015
- Enumeration Date
- April 01, 2019
- Last Updated
- July 17, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 17, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), Orthopaedic Surgery Physician (207X00000X)
- Other Identifiers
- 200144492 (MO)