MR. KEVIN GORDON PA-C
NPI 1740383736
Physician Assistant - Surgical in Lebanon, PA
About Mr. Kevin Gordon Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KEVIN GORDON PA-C (NPI 1740383736) is an individual surgical provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MA050742) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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. Kevin Gordon 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.
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 Kevin Gordon's NPI number?
The NPI number for Kevin Gordon is 1740383736. It was assigned to this individual provider in the NPPES registry on September 6, 2006.
Where is Kevin Gordon located?
Kevin Gordon practices at 1700 S Lincoln Ave, Lebanon, PA 17042. The listed phone number is (717) 262-6621.
What is Kevin Gordon's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Kevin Gordon enrolled in Medicare?
Yes. Kevin Gordon is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kevin Gordon was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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. Kevin Gordon, PA-C · NPI 1740383736
Surgical physician in Lebanon, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 6, 2006.
## Identity
- **NPI:** 1740383736 (Entity type: Individual)
- **Enumerated:** September 6, 2006
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** MA050742 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1700 S LINCOLN AVE, Lebanon, PA 17042-7529
- **Phone:** (717) 262-6621
## 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:** January 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1740383736) · Data from the CMS NPPES public registry.