MCKENNA GIBERSON


Address: 735 Norman Dr Ste 3, Lebanon, PA 17042-7559
Phone: 7172707908

MCKENNA GIBERSON (NPI# 1407497324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 735 NORMAN DR STE 3
City LEBANON
State PA
Zip Code 17042-7559

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City LEBANON
Zip Code 17042

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Dataset Information

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.

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