MR. GORDON DEREK CALLAWAY PA-C
NPI 1316968100
Physician Assistant - Medical in Lebanon, NH
About Mr. Gordon Derek Callaway Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GORDON DEREK CALLAWAY PA-C (NPI 1316968100) is an individual medical provider in Lebanon, New Hampshire, licensed in New Hampshire (0592) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Gordon Derek Callaway Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gordon Callaway's NPI number?
The NPI number for Gordon Callaway is 1316968100. It was assigned to this individual provider in the NPPES registry on July 21, 2006.
Where is Gordon Callaway located?
Gordon Callaway practices at 1 Medical Center Dr, Lebanon, NH 03756. The listed phone number is (603) 650-5599.
What is Gordon Callaway's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Gordon Callaway enrolled in Medicare?
Yes. Gordon Callaway is registered in the Medicare PECOS enrollment system.
What insurance does Gordon Callaway accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Gordon Callaway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gordon Callaway was last updated on October 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Gordon Derek Callaway, PA-C · NPI 1316968100
Medical physician in Lebanon, New Hampshire. Individual provider, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1316968100 (Entity type: Individual)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 0592 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEDICAL CENTER DR, Lebanon, NH 03756-1000
- **Phone:** (603) 650-5599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 28, 2011
- **Other identifiers:** Medicaid 9000303 (VT); Medicaid 30334478 (NH); Medicare PIN AP2675 (NH); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1316968100) · Data from the CMS NPPES public registry.