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

Dr. Zachary Nathan Gordon, MD

Individual provider Clinical Informatics Physician · NPI 1790075851

Dr. Zachary Nathan Gordon, MD is an Urology in Lebanon, Indiana. Graduated from Warren Alpert Medical School of Brown University in 2011, 15 years ago. Practices with Witham Memorial Hospital, a 103-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
15
Trained at
Warren Alpert Medical School of Brown University
Licensed in
IN
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2705 N Lebanon St Ste 265
Lebanon, IN 46052
Phone: (765) 485-8730
Fax: (765) 485-8739
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 01077056A (IN)
Clinical Informatics Physician Taxonomy 2083C0008X · Licence 01077056A (IN)

Record details

NPI number1790075851
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2011
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2011 (15 years in practice)
Group practice Witham Memorial Hospital — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare