THE GOOD SAMARITAN HOSPITAL (NPI# 1609952761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609952761 |
| Entity Type | Organization |
| Organization Name | THE GOOD SAMARITAN HOSPITAL |
| Practice Address |
Fourth and Walnut Streets Lebanon PA 17042 |
| Mailing Address |
Po Box 1281 Lebanon PA 17042-1281 |
| Practice Telephone | 7172747580 |
| Practice Fax Number | 7172280249 |
| Mailing Telephone | 7172747580 |
| Mailing Fax Number | 7172280249 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-11-13 |
| Authorized Official Name | ROBERT J RICHARDS (VP FINANCE & CFO) |
| Authorized Official Telephone | 7172707806 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE GOOD SAMARITAN HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
072401 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | 1365669 | 01 |
| HIGHMARK FREEDOM BLUE | 1365669 | 01 | |
| GATEWAY MEDICARE ASSURED | 1520460 | 01 | |
| GEISINGER GOLD | 400547 | 01 | |
| STERLING OPTION 1 | 400547 | 01 | |
| HUMANA GOLD | 400547 | 01 | |
| PA | BS 65(MEDIGAP CROSS OVER) | 400547 | 01 |
| RAILROAD MEDICARE | 400547 | 01 | |
| ADVANTRA | 400547 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891874798 | The Good Samaritan Hospital | Skilled Nursing Facility | Fourth and Willow Streets, Lebanon, PA 17042 | 2006-11-03 |
| 1235329095 | The Good Samaritan Hospital | Clinic/Center | 830 Tuck St, Lebanon, PA 17042-7477 | 2007-07-27 |
| 1205902343 | The Good Samaritan Hospital | Clinic/Center | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-28 |
| 1407928500 | The Good Samaritan Hospital | General Acute Care Hospital | 252 S 4th St, Lebanon, PA 17042-6111 | 2006-11-14 |
| 1346329232 | The Good Samaritan Hospital | Emergency Medicine | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-03 |
| 1609953751 | The Good Samaritan Hospital | Radiology | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-01 |
| 1942383781 | The Good Samaritan Hospital | Rehabilitation Unit | 30 N 4th St, Lebanon, PA 17046-5606 | 2006-10-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | THE GOOD SAMARITAN HOSPITAL FOUNDATION | 9 Thurlow Terrace, Albany, New York 12203 |
| Street Address |
FOURTH AND WALNUT STREETS |
| City | LEBANON |
| State | PA |
| Zip Code | 17042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205881018 | Juan C. Blas-boria | Radiology | Fourth and Walnut Streets, Radiology Department, Lebanon, PA 17042 | 2006-05-23 |
| 1205902343 | The Good Samaritan Hospital | Clinic/Center | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-28 |
| 1801969589 | Karen K Bachman | Dietitian, Registered | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-17 |
| 1346329232 | The Good Samaritan Hospital | Emergency Medicine | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-03 |
| 1922186089 | Judith A Laubenstein | Registered Nurse | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-02 |
| 1609953751 | The Good Samaritan Hospital | Radiology | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-01 |
| 1396821211 | Gayle K Hoffman | Dietitian, Registered | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-10-31 |
| 1477639300 | Theresa M Gogets | Dietitian, Registered | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-10-31 |
| 1598773962 | Cardiovascular Surgical Associates of Lebanon, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-08-03 |
| 1053345652 | Lebanon Imaging Associates, PC | Radiology | Fourth and Walnut Streets, Attn: Radiology Department, Lebanon, PA 17042 | 2006-07-10 |
| Find all providers in the same location | ||||
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1629160296 | Ashok Khattri | Internal Medicine | 1700,lincoln Ave, Lebanon Vamc, Lebanon, PA 17042 | 2006-09-29 |
| 1932513397 | Good Samaritan Physician Service | Internal Medicine | 850 Tuck St, Lebanon, PA 17042-7477 | 2014-06-13 |
| 1346576246 | Graham Thomas Atkins | Internal Medicine | 1 Medical Center Dr, Dhmc, Department of Pulmonary Medicine, Lebanon, NH 03756 | 2009-10-27 |
| 1598995086 | Adam Anthony Cieciuch | Internal Medicine | 2705 N Lebanon St Ste 265, Lebanon, IN 46052-8621 | 2009-07-20 |
| 1588843866 | Bedilu W Woldaregay | Internal Medicine | 850 Tuck St, Lebanon, PA 17042 | 2007-11-02 |
| 1346449667 | Mitsuo Matsuoka | Internal Medicine | 1 Medical Center Dr, Dhmc, Department of Medicine, Section of Pulmonary, Lebanon, NH 03756-1000 | 2007-07-16 |
| 1932234325 | Christopher James Huffer | Internal Medicine | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2007-02-23 |
| 1265512545 | James Carrington Leiter IIi | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-10-17 |
| 1518075159 | Donald A Mahler | Internal Medicine | 1 Medical Center Dr, Dhmc Pulmonary, Lebanon, NH 03756-1000 | 2006-08-25 |
| 1346356367 | Henry Worth Parker | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-08-22 |
| 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.