Mr. Gordon D Callaway, PA-C
Physician Assistant, Medical in Lebanon, New Hampshire
1316968100- Practice location
- 1 Medical Center Dr, Lebanon, NH 03756-1000
- Phone
- 603-650-5599
- Fax
- —
- Last updated
- October 28, 2011
Gordon Derek Callaway is a Physician Assistant, Medical based in Lebanon, NH. Gordon Derek Callaway practices in Lebanon, NH and has the professional credentials of PA-C. The NPI Number for Gordon Derek Callaway is 1316968100 and holds a License No. 0592 (NH). The current practice location address for Gordon Derek Callaway is 1 Medical Center Dr, Lebanon, NH 03756-1000 and can be reached out via phone at 603-650-5599.
Provider Profile Details
- NPI Number
- 1316968100
- Provider Name
- Gordon Derek Callaway
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Medical Center Dr, Lebanon, NH 03756-1000
- Phone Number
- 603-650-5599
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 21, 2006
- Last Update Date
- October 28, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Medical Center Dr
Lebanon, NH 03756-1000 - City
- Lebanon
- State
- New Hampshire
- Zip
- 03756-1000
- Phone Number
- 603-650-5599
Provider Business Mailing Address Details
- Address
- 1 Medical Center Dr
Lebanon, NH 03756-1000 - City
- Lebanon
- State
- NH
- Zip
- 03756-1000
- Phone Number
- 603-650-5599
License Information
- License Number
- 0592
- License State
- NH
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Gordon D Callaway, PA-C?
The NPI number of Mr. Gordon D Callaway, PA-C is 1316968100. It was assigned on July 21, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Gordon D Callaway, PA-C?
Mr. Gordon D Callaway, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NH under license number 0592.
Where does Mr. Gordon D Callaway, PA-C practice?
The practice location is 1 Medical Center Dr, Lebanon, NH 03756-1000. The office can be reached at 603-650-5599 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316968100 directly on the NPPES registry website.