GOOD SAMARITAN PHYSICIAN SERVICES (NPI# 1063963585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063963585 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN PHYSICIAN SERVICES |
| Other Organization Name | WELLSPAN VASCULAR SURGERY |
| Practice Address |
4th and Walnut Streets 2ns Floor Lebanon PA 17042 |
| Mailing Address |
Po Box 300 Lebanon PA 17042-0300 |
| Practice Telephone | 7172703751 |
| Practice Fax Number | 7172703754 |
| Mailing Telephone | 7172703751 |
| Mailing Fax Number | 7172703754 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | KATHLEEN S MARTIN (MANAGER) |
| Authorized Official Telephone | 7172703821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WellSpan Vascular Surgery | 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 |
| 1497021018 | Good Samaritan Physician Services | Internal Medicine | 761 Norman Drive, Lebanon, PA 17042-7497 | 2012-03-28 |
| 1326064460 | Good Samaritan Physician Services | Emergency Medicine | 4th and Willow Streets, Lebanon, PA 17042-0300 | 2006-07-14 |
| 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 |
4TH AND WALNUT STREETS 2NS FLOOR |
| City | LEBANON |
| State | PA |
| Zip Code | 17042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285618421 | Ricardo Longarini | Internal Medicine | 4th and Walnut Streets, 3rd Floor, Lebanon, PA 17042-6123 | 2005-12-01 |
| 1497043319 | Shristi Kunwar | Internal Medicine | 4th and Walnut Streets, 3rd Floor, Lebanon, PA 17042-6123 | 2011-07-12 |
| 1437465002 | Mary K Mutschler | Social Worker | 4th and Walnut Streets, Gsh Chapel, Lebanon, PA 17042-6165 | 2010-08-20 |
| 1427376797 | Good Samaritan Physician Services | Hospitalist | 4th and Walnut Streets, 3rd Floor, Lebanon, PA 17042-0300 | 2010-05-12 |
| 1285883363 | Carla Elaine Pielmeier | Audiologist | 4th and Walnut Streets, Lebanon, PA 17042-1281 | 2008-09-15 |
| 1184800781 | Surekha Venkata Kotapothula | Internal Medicine | 4th and Walnut Streets, 3rd Floor, Lebanon, PA 17042-6123 | 2008-01-14 |
| 1932116001 | David T Prizniak Jr. | Physician Assistant | 4th and Walnut Streets, Cardiovascular Surgical Associates of Lebanon, Lebanon, PA 17042-1281 | 2006-08-02 |
| 1912940651 | Lebanon Mri Associates, Ltd | Clinic/Center | 4th and Walnut Streets, Lebanon, PA 17042 | 2006-06-13 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336715 | Charles Dinerstein | Surgery | 4th & Walnut Streets, 2nd Floor, Lebanon, PA 17042-6123 | 2005-06-20 |
| 1669815130 | Jesse A Columbo | Surgery | 1 Medical Center Dr, Section of Vascular Surgery, 3v, Lebanon, NH 03756-0001 | 2013-04-15 |
| 1437415478 | Jocelyn Michelle Beach | Surgery | One Medical Center Dr, Dartmouth Hitchcock - Vascular Surgery, Lebanon, NH 03756 | 2012-04-04 |
| 1023251717 | Nikolaos Zacharias | Surgery | 1 Medical Center Dr, Vascular Surgery, Lebanon, NH 03756-1000 | 2009-04-12 |
| 1316059058 | Robert Won-kee Chang | Surgery | 1 Medical Center Dr, Vascular Surgery, Lebanon, NH 03756-1000 | 2006-08-31 |
| 1144337569 | Brian William Nolan | Surgery | 1 Medical Center Dr, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756-1000 | 2006-08-23 |
| 1942316914 | Richard James Powell | Surgery | 1 Medical Center Dr, Section of Vascular Surgery, Lebanon, NH 03756-1000 | 2006-08-22 |
| 1508879024 | Mark Fillinger | Surgery | 1 Medical Center Dr, Dhmc Vascular Surgery, Lebanon, NH 03756-1000 | 2006-08-14 |
| 1477564151 | Daniel Bernard Walsh | Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-08-10 |
| 1487664629 | Robert Matthew Zwolak | Surgery | 1 Medical Center Dr, Dhmc. Department of Surgery, Lebanon, NH 03756-1000 | 2006-08-09 |
| 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.