GOOD SAMARITIAN PHYSICIAN SERVICES (NPI# 1023260924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023260924 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITIAN PHYSICIAN SERVICES |
| Other Organization Name | WELLSPAN MEDICAL ONCOLOGY AND HEMATOLOGY - LEBANON |
| Practice Address |
844 Tuck St Sechler Family Cancer Center Lebanon PA 17042-7477 |
| Mailing Address |
Po Box 300 Lebanon PA 17042-0300 |
| Practice Telephone | 7172748875 |
| Practice Fax Number | 7172702325 |
| Mailing Telephone | 7172707780 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | JODY M BOGER (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 7172707780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001864024 | 05 |
| Other Name | Type Code |
|---|---|
| WellSpan Medical Oncology and Hematology - Lebanon | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679728588 | Good Samaritian Physician Services | Surgery | 735 Norman Dr, Suite 3, Lebanon, PA 17042-7559 | 2008-11-19 |
| Street Address |
844 TUCK ST SECHLER FAMILY CANCER CENTER |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932626082 | Beth A Bachman | Registered Nurse | 844 Tuck St, Lebanon, PA 17042-7477 | 2017-08-29 |
| 1689123119 | Megan Cash | Nurse Practitioner | 844 Tuck St, Lebanon, PA 17042-7477 | 2016-09-26 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457360471 | Lebanon Oncology & Hematology Assoc. | Internal Medicine | 4th & Willow St, Hyman S Caplan Pavilion, Lebanon, PA 17046 | 2006-08-07 |
| 1841243425 | Tennessee Oncology Pllc | Internal Medicine | 103 Physicians Way Ste 120, Lebanon, TN 37090-4134 | 2006-05-18 |
| 1033523733 | Bhavina Batukbhai Sharma | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2014-06-20 |
| 1699119842 | Garrett Thomas Wasp | Internal Medicine | One Medical Center Dr, Hematology/oncology, Lebanon, NH 03756-0001 | 2013-04-18 |
| 1396005641 | Mid-valley Healthcare, Inc. | Internal Medicine | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2012-05-21 |
| 1083986442 | Alliance Physicians Inc | Internal Medicine | 670 N Broadway St, Lebanon, OH 45036-2590 | 2012-02-01 |
| 1548436520 | Frederick Lansigan | Internal Medicine | 1 Medical Center Dr, Hematology-oncology, Lebanon, NH 03756-1000 | 2008-04-30 |
| 1023294949 | Monic R Drescher | Internal Medicine | 1 Medical Center Dr, Dartmouth Hitchcock- Hematology/oncology, Lebanon, NH 03756-1000 | 2008-01-10 |
| 1366598955 | Gabriel Arne Brooks | Internal Medicine | 1 Medical Center Dr, Medical Oncology, Lebanon, NH 03756-1000 | 2007-01-26 |
| 1629166673 | Steven Hardin | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-10-11 |
| 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.