GOOD SAMARITAN PHYSICIAN SERVICES (NPI# 1497021018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497021018 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN PHYSICIAN SERVICES |
| Other Organization Name | WELLSPAN DIGESTIVE HEALTH SPECIALISTS |
| Practice Address |
761 Norman Drive Lebanon PA 17042-7497 |
| Mailing Address |
Po Box 300 Lebanon PA 17042-0300 |
| Practice Telephone | 7173761180 |
| Practice Fax Number | 7173761184 |
| Mailing Telephone | 7172707780 |
| Mailing Fax Number | 7172749746 |
| Enumeration Date | 2012-03-28 |
| 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 | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001864024 | 05 |
| Other Name | Type Code |
|---|---|
| WellSpan Digestive Health Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1326064460 | Good Samaritan Physician Services | Emergency Medicine | 4th and Willow Streets, Lebanon, PA 17042-0300 | 2006-07-14 |
| 1063963585 | Good Samaritan Physician Services | Surgery | 4th and Walnut Streets, 2ns Floor, Lebanon, PA 17042 | 2016-10-19 |
| 1558749846 | Good Samaritan Physician Services | Urology | 735 Norman Dr, Suite B, Lebanon, PA 17042-7497 | 2015-05-07 |
| 1821429994 | Good Samaritan Physician Services | Family Medicine | 101 Fairview Cir, Lebanon, PA 17042-9581 | 2013-11-27 |
| 1346672086 | Good Samaritan Physician Services | Physician Assistant | 4th & Walnut Street, Lebanon, PA 17042 | 2013-08-05 |
| 1598007783 | Good Samaritan Physician Services | Emergency Medicine | 840 Tuck St, Lebanon, PA 17042-7477 | 2013-03-26 |
| 1861752073 | Good Samaritan Physician Services | Social Worker | 30 N 4th St, 4th and Willow Streets, Lebanon, PA 17046-4808 | 2012-05-22 |
| 1427376797 | Good Samaritan Physician Services | Hospitalist | 4th and Walnut Streets, 3rd Floor, Lebanon, PA 17042-0300 | 2010-05-12 |
| 1407096951 | Good Samaritan Physician Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4th & Walnut Streets, 2nd Floor, Lebanon, PA 17042-6123 | 2009-02-24 |
| Street Address |
761 NORMAN DRIVE |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7497 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336155530 | Elizabeth H Lindsey | Internal Medicine | 1420 W Baddour Pkwy Ste 130, Lebanon, TN 37087-1510 | 2006-07-31 |
| 1740237171 | Terrance Allen Hill | Internal Medicine | 55d Twin Oaks Ave Ste 2, Lebanon, OR 97355-2851 | 2006-05-30 |
| 1053304352 | Thaddeus Raymond Szydlowski | Internal Medicine | 761 Norman Dr, Lebanon, PA 17042-7497 | 2005-08-23 |
| 1164414678 | David Paul Deysher | Internal Medicine | 954 Isabel Dr, Lebanon, PA 17042-7482 | 2005-08-19 |
| 1871585497 | Trent William Nichols Jr. | Internal Medicine | 1151 Cornwall Rd, Lebanon, PA 17042-7233 | 2005-08-19 |
| 1568014710 | Michael Andrew Curley | Internal Medicine | 1 Medical Dr, Lebanon, NH 03756-0001 | 2019-07-09 |
| 1578014007 | Wellspan Medical Group | Internal Medicine | 954 Isabel Dr, Lebanon, PA 17042-7482 | 2016-10-19 |
| 1629412051 | Rupal Hirenbhai Patel | Internal Medicine | One Medical Center Drive, Gastroenterology, Lebanon, NH 03756-0001 | 2013-04-29 |
| 1326482837 | Elliot Seth Coburn | Internal Medicine | 1 Medical Dr Dept Of, Lebanon, NH 03756 | 2013-04-26 |
| 1215371208 | Shannon Morales | Internal Medicine | 1 Medical Dr Dept Of, Lebanon, NH 03756-1000 | 2013-04-22 |
| 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.