GOOD SAMARITAN HOSPITAL (NPI# 1073153474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073153474 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL |
| Practice Address |
2020 S Clearview Dr Vincennes IN 47591-5576 |
| Mailing Address |
1160 E Saint Clair St Vincennes IN 47591-4853 |
| Practice Telephone | 8128853011 |
| Practice Fax Number | 8128853217 |
| Mailing Telephone | 8128853453 |
| Mailing Fax Number | 8128858499 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | PATRICIA NICHOLE ASH (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8128853106 |
| Is Organization Subpart | Y |
| Parent Organization Name | GOOD SAMARITAN HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Center for Therapy and Sports Performance | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659830776 | Good Samaritan Hospital | Pharmacy | 1245 Wilshire Blvd Ste 201, Los Angeles, CA 90017-4812 | 2019-03-18 |
| 1164878583 | Good Samaritan Hospital | Skilled Nursing Facility | 811 E. Baseline Road, Evansville, IN 47725-9340 | 2016-05-05 |
| 1932503653 | Good Samaritan Hospital | General Acute Care Hospital | 32430 Nautilus Dr, Rancho Palos Verdes, CA 90275-6002 | 2014-10-09 |
| 1295163293 | Good Samaritan Hospital | General Acute Care Hospital | 4th and Walnut St., Good Samaritan Hospital, Lebanon, PA 17042-9171 | 2013-10-29 |
| 1184930737 | Good Samaritan Hospital | Skilled Nursing Facility | 714 S Eickhoff Rd, Evansville, IN 47712-9060 | 2010-08-20 |
| 1164757803 | Good Samaritan Hospital | General Acute Care Hospital | 235 Hillcrest Dr, Cincinnati, OH 45215-2609 | 2009-10-14 |
| 1811146681 | Good Samaritan Hospital | Skilled Nursing Facility | 1701 Mcdowell Rd, Evansville, IN 47712-5431 | 2008-09-16 |
| 1265696231 | Good Samaritan Hospital | General Acute Care Hospital | 531 Belmonte Park N Apt 608, Dayton, OH 45405-4713 | 2008-07-17 |
| 1457540387 | Good Samaritan Hospital | Family Medicine | 115 N Boone St, Olney, IL 62450-2109 | 2007-10-16 |
| 1487731477 | Good Samaritan Hospital | Skilled Nursing Facility | 801 E Illinois St, Petersburg, IN 47567-8026 | 2006-11-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOOD SAMARITAN HOSPITAL | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 |
| Washington State Corporations | GOOD SAMARITAN HOSPITAL | 407 14th Ave Se, Puyallup, WA 98372 |
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL AUXILIARY | 3600 Nw Samaritan Drive, Corvallis, OR 97330 |
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL CORVALLIS | 3600 Nw Samaritan Dr, Corvallis, OR 97330 |
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL FOUNDATION | 3600 Nw Samaritan Drive, Corvallis, OR 97330 |
| Oregon Corporations, Companies and Business Names | GOOD SAMARITAN HOSPITAL FOUNDATION, CORVALLIS | 3600 Nw Samaritan Dr, Corvallis, OR 97339 |
| New York State Corporations | GOOD SAMARITAN HOSPITAL MEDICAL CENTER | 1000 Montauk Highway, West Islip, New York 11795 |
| System for Award Management (SAM) Entities | GOOD SAMARITAN HOSPITAL OF CINCINNATI | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 |
| New York State Corporations | GOOD SAMARITAN HOSPITAL OF SUFFERN, N.Y. | Pres/chief Executive Officer, 255 Lafayette Ave, Suffern, New York 10901 |
| System for Award Management (SAM) Entities | GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC. | 520 S 7th St, Vincennes, IN 47591-1038 |
| Street Address |
2020 S CLEARVIEW DR |
| City | VINCENNES |
| State | IN |
| Zip Code | 47591-5576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831125681 | Frank L Emert Jr. | Optometrist | 2020 S Clearview Dr, Vincennes, IN 47591-5576 | 2006-06-23 |
| 1831508357 | Clearview Eye Surgery Center LLC | Clinic/Center | 2020 S Clearview Dr, Vincennes, IN 47591-5576 | 2014-08-08 |
| 1588073365 | Clearview Eye Center LLC | Optometrist | 2020 S Clearview Dr, Vincennes, IN 47591-5576 | 2014-08-06 |
| 1083037022 | Amedco Indiana LLC | Optometrist | 2020 S Clearview Dr, Vincennes, IN 47591-5576 | 2014-01-28 |
| 1992128946 | Amedco Indiana LLC | Clinic/Center | 2020 S Clearview Dr, Vincennes, IN 47591-5576 | 2014-01-28 |
| 1811310279 | Amedco Indiana LLC | Eyewear Supplier (Equipment, not the service) | 2020 S Clearview Dr, Vincennes, IN 47591-5576 | 2014-01-21 |
| 1316091259 | Amedco Indiana LLC | Clinic/Center | 2020 S Clearview Dr, Vincennes, IN 47591-5576 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688484 | Mary Alsakka | Pharmacist | 602 Kimmell Rd, Vincennes, IN 47591 | 2020-10-30 |
| 1265053854 | Hamilton Center Inc. | Clinic/Center | 1433 Willow Street, Vincennes, IN 47591 | 2020-05-05 |
| 1134690654 | Deaconess Hospital Inc | Durable Medical Equipment & Medical Supplies | 516 S. 9th St, Vincencces, IN 47591 | 2018-12-10 |
| 1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
| 1033566203 | Jennifer Hoyt | Nurse Practitioner | 1813 Willow St Ste 3a, Vincennes, IN 47591 | 2016-05-18 |
| 1821469602 | Riverside Family Clinic, Inc | Nurse Practitioner | 328 N 2nd St, Suite 102, Vincennes, IN 47591 | 2015-10-19 |
| 1902205594 | Kathleen Garner | Physical Therapy Assistant | 3901 Old Bruceville Road, Vincennes, IN 47591 | 2014-08-19 |
| 1467703645 | Molly Ann Barth | Speech-Language Pathologist | 3801 Old Bruceville Road, Vincennes, IN 47591 | 2012-09-27 |
| 1083965776 | Tiffany Renee Neukam | Occupational Therapist | 1900 College Ave., Vincennes, IN 47591 | 2012-09-21 |
| 1396057089 | Jericho Lynn Quick | Optometrist | 1813 Willow St Ste 2a, Vincennes, IN 47591 | 2010-07-09 |
| Find all providers in zip 47591 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023526050 | Jennifer Walters | Physical Medicine & Rehabilitation | 2362 E State Road 18, Flora, IN 46929-8201 | 2018-01-11 |
| 1417279969 | Gerald Mickler | Physical Medicine & Rehabilitation | 9500 E 16th St, Indianapolis, IN 46229-2008 | 2010-02-25 |
| 1679528152 | Christopher J Emrick | Physical Medicine & Rehabilitation | 13774 Elmberry Ln, Fishers, IN 46038-8530 | 2006-05-23 |
| 1366084915 | Tyler William Maharrey | Physical Medicine & Rehabilitation | 600 W 13th St, Jasper, IN 47546-1881 | 2019-10-15 |
| 1306345194 | Cody Hartz | Physical Medicine & Rehabilitation | 2000 W University Ave, Muncie, IN 47306-1022 | 2018-02-07 |
| 1578956736 | Maura Shea | Physical Medicine & Rehabilitation | 567 N 5th St, Terre Haute, IN 47809-1903 | 2015-03-12 |
| 1245636380 | Malinda Nieman | Physical Medicine & Rehabilitation | 300 E 109th Ave, Crown Point, IN 46307-8693 | 2014-11-18 |
| 1275819443 | Lucas Phillips | Physical Medicine & Rehabilitation | 1001 E 17th St, Bloomington, IN 47408-1590 | 2011-11-01 |
| 1265751127 | Leda Ameri Ghannad | Physical Medicine & Rehabilitation | 9200 Calumet Ave, Munster, IN 46321-2885 | 2010-05-18 |
| 1215149810 | Carly E Day | Physical Medicine & Rehabilitation | 900 N John R Wooden Dr, West Lafayette, IN 47907-2117 | 2007-05-04 |
| Find all providers with the same taxonomy | ||||
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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.