GOOD SAMARITAN PHYSICIAN SERVICES (NPI# 1316301724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316301724 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN PHYSICIAN SERVICES |
| Other Organization Name | WELLSPAN RADIATION ONCOLOGY |
| Practice Address |
844 Tuck Street Lebanon PA 17042 |
| Practice Telephone | 7172702238 |
| Practice Fax Number | 7172702325 |
| Mailing Telephone | 7172702238 |
| Mailing Fax Number | 7172702325 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Authorized Official Name | JASON LONGO (ADMINISTRATIOR) |
| Authorized Official Telephone | 7172703827 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Wellspan Radiation Oncology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
844 TUCK STREET |
| City | LEBANON |
| State | PA |
| Zip Code | 17042 |
| 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 |
| 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 |
| 1538476932 | Yocum Associates, P.C. | Family Medicine | 940 Cumberland St., Lebanon, PA 17042 | 2010-09-07 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881857308 | Nirav Kapadia | Radiology | 1 Medical Center Dr, Section of Radiation Oncology, Lebanon, NH 03756-1000 | 2008-07-03 |
| 1700058021 | Thomas Charles Sroka | Radiology | 1 Medical Center Dr, Dhmc - Dept of Radiation Oncology, Lebanon, NH 03756-1000 | 2008-03-26 |
| 1922277318 | Cancer Care Group, P.C. | Radiology | 2505 N Lebanon St, Suite 100, Lebanon, IN 46052-8612 | 2008-02-29 |
| 1144417502 | Lesley Ann Jarvis | Radiology | 1 Medical Center Dr, Dhmc Dept of Radiation Oncology, Lebanon, NH 03756-1000 | 2007-10-01 |
| 1750591400 | Gregory A. Russo | Radiology | 1 Medical Center Dr, Dhmc - Radiology Oncology, Lebanon, NH 03756-1000 | 2007-05-23 |
| 1982713913 | Anna K. Fariss | Radiology | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-08-30 |
| 1912017732 | Alan Charles Hartford | Radiology | 1 Medical Center Dr, Dhmc Radiation Oncology, Lebanon, NH 03756-1000 | 2006-08-30 |
| 1831202803 | Maura L Campbell | Radiology | 1411 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2006-08-16 |
| 1891702171 | Richard Peyton | Radiology | 1411 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2006-08-01 |
| 1346269164 | John Frederick Marshall | Radiology | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-19 |
| 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.