GOOD SAMARITAN PHYSICIAN SERVICES (NPI# 1407096951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407096951 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN PHYSICIAN SERVICES |
| Other Organization Name | WELLSPAN CARDIOTHORACIC SURGERY - LEBANON |
| Practice Address |
4th & Walnut Streets 2nd Floor Lebanon PA 17042-6123 |
| Mailing Address |
Po Box 300 Lebanon PA 17042-0300 |
| Practice Telephone | 7172703751 |
| Practice Fax Number | 7172703754 |
| Mailing Telephone | 7172707780 |
| Mailing Fax Number | 7172749746 |
| Enumeration Date | 2009-02-24 |
| 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 | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001864024 | 05 |
| Other Name | Type Code |
|---|---|
| WellSpan Cardiothoracic Surgery - Lebanon | 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 |
| 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 |
| Street Address |
4TH & WALNUT STREETS 2ND FLOOR |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-6123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336715 | Charles Dinerstein | Surgery | 4th & Walnut Streets, 2nd Floor, Lebanon, PA 17042-6123 | 2005-06-20 |
| 1730140609 | Bruce J Hinkle | Emergency Medicine | 4th & Walnut Streets, Good Samaritan Hospital, Lebanon, PA 17042-1281 | 2006-03-30 |
| 1558322420 | Thomas R Stebbins | Physician Assistant | 4th & Walnut Streets, Good Samaritan Hospital, Lebanon, PA 17042-1281 | 2006-03-30 |
| 1285695155 | Robert J Balogh Jr. | Emergency Medicine | 4th & Walnut Streets, Good Samaritan Hospital, Lebanon, PA 17042-1281 | 2006-03-30 |
| 1457312324 | Alissa R Seifert | Physician Assistant | 4th & Walnut Streets, Good Samaritan Hospital, Lebanon, PA 17042-1281 | 2006-03-30 |
| 1215998240 | Bruce K Eagleson | Emergency Medicine | 4th & Walnut Streets, Good Samaritan Hospital, Lebanon, PA 17042-1281 | 2006-03-29 |
| 1992766927 | Michael Rusli | Emergency Medicine | 4th & Walnut Streets, Good Samaritan Hospital, Lebanon, PA 17042-1281 | 2006-03-29 |
| 1225021850 | Karla M Ludwig | Internal Medicine | 4th & Walnut Streets, 2nd Fl West, Lebanon, PA 17042-6123 | 2005-08-30 |
| 1629061452 | Ruben Perez | Internal Medicine | 4th & Walnut Streets, 2nd Floor West, Lebanon, PA 17042-6123 | 2005-08-26 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831152651 | Martin Leboutillier IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Fourth & Walnut Sts, 2nd Fl, Lebanon, PA 17042-1281 | 2006-04-11 |
| 1871565077 | Aristides Basil Codoyannis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13 Glennon Farm Ln, Lebanon, NJ 08833-4504 | 2006-02-02 |
| 1013912070 | Savas Mavridis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 252 S 4th St Fl 2, Lebanon, PA 17042 | 2005-06-16 |
| 1376709543 | Joseph David Phillips | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Center Dr, Dartmouth Hitchcock - Thoracic Surgery, Lebanon, NH 03756 | 2008-08-06 |
| 1750557724 | Rian Melissa Hasson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Center Dr, Lebanon, NH 03756 | 2008-04-30 |
| 1326213372 | Bryan Payne Stanifer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Center Dr, Dhmc Department of Surgery, Lebanon, NH 03756-1000 | 2008-04-29 |
| 1619162427 | David J Finley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Center Dr, Dhmc - Thoracic Surgery, Lebanon, NH 03756-1000 | 2007-09-14 |
| 1528118643 | Joseph Paul Desimone | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Center Dr, Dhmc Cardiac Surgery, Lebanon, NH 03756-1000 | 2007-01-11 |
| 1598773962 | Cardiovascular Surgical Associates of Lebanon, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-08-03 |
| 1063440253 | Anthony W Discipio | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-06-28 |
| 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.