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

Mr. Gordon Derek Callaway, PA-C

Individual provider Medical Physician Assistant · NPI 1316968100

Mr. Gordon Derek Callaway, PA-C is a Medical Physician Assistant in Lebanon, New Hampshire. Licensed in New Hampshire. Registered with an NPI since 2006.

Licensed in
NH
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1 Medical Center Dr
Lebanon, NH 03756-1000
Phone: (603) 650-5599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0592 (NH)

Record details

NPI number1316968100
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESOctober 28, 2011

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