MCKENNA GIBERSON (NPI# 1407497324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407497324 |
Entity Type | Individual |
Full Name | MCKENNA GIBERSON |
Credential | PA-C |
Practice Address |
735 Norman Dr Ste 3 Lebanon PA 17042-7559 |
Mailing Address |
3421 Concord Rd York PA 17402-9001 |
Practice Telephone | 7172707908 |
Mailing Telephone | 7177851114 |
Enumeration Date | 2019-10-02 |
Last Update Date | 2019-10-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
735 NORMAN DR STE 3 |
City | LEBANON |
State | PA |
Zip Code | 17042-7559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386866853 | Raman Kumar | Surgery | 735 Norman Dr Ste 3, Lebanon, PA 17042-7559 | 2007-05-03 |
1033750583 | Morgan E Garman | Physician Assistant | 735 Norman Dr Ste 3, Lebanon, PA 17042-7559 | 2019-10-07 |
1710380340 | Ketankumar Dipakkumar Patel | Surgery | 735 Norman Dr Ste 3, Lebanon, PA 17042-7559 | 2014-09-26 |
1336583996 | Stefanni Estonilo Key | Nurse Practitioner | 735 Norman Dr Ste 3, Lebanon, PA 17042-7559 | 2013-04-24 |
1730433426 | Laura Lee Yoder | Nurse Practitioner | 735 Norman Dr Ste 3, Lebanon, PA 17042-7559 | 2012-11-01 |
1609136993 | Elijah Wade Riddle | Surgery | 735 Norman Dr Ste 3, Lebanon, PA 17042-7559 | 2012-05-21 |
1275814527 | Cindy Wu | Surgery | 735 Norman Dr Ste 3, Lebanon, PA 17042-7559 | 2011-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
Find all providers in zip 17042 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558399923 | John C. Gullage | Physician Assistant | 331 Hospital Dr Ste A, Lebanon, MO 65536-9251 | 2006-06-28 |
1346858263 | Chelsea A Jarosz | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2020-07-16 |
1548885411 | Marguerite Louise Danicek | Physician Assistant | 2705 N Lebanon St Ste 210, Lebanon, IN 46052-8622 | 2020-06-16 |
1306409818 | Kyle Lance Holsted | Physician Assistant | 1 Medical Center Drive, Department of Surgery, Lebanon, NH 03756-0001 | 2019-04-19 |
1124541156 | Claudia Yee Heng Lam | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2017-07-21 |
1922553312 | Tatyana Kalinchuk | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2016-08-16 |
1780138495 | Scott S Mirick | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2016-08-10 |
1386015337 | Kevin W Swann | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2015-10-16 |
1336517630 | Jonathan Dupuis | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2015-09-03 |
1366827891 | Austin W Holt | Physician Assistant | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2015-07-27 |
Find all providers in LEBANON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.