GOOD SAMARITAN PHYSICIAN SERVICES (NPI# 1760510424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760510424 |
Entity Type | Organization |
Organization Name | GOOD SAMARITAN PHYSICIAN SERVICES |
Other Organization Name | WELLSPAN FAMILY MEDICINE - ELCO |
Practice Address |
6 Perri Ave Myerstown PA 17067-3200 |
Mailing Address |
Po Box 300 Lebanon PA 17042-0300 |
Practice Telephone | 7179496581 |
Practice Fax Number | 7179492816 |
Mailing Telephone | 7172707780 |
Mailing Fax Number | 7172749746 |
Enumeration Date | 2007-03-02 |
Last Update Date | 2016-10-04 |
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 |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 001864024 | 05 |
Other Name | Type Code |
---|---|
WellSpan Family Medicine - ELCO | 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 |
6 PERRI AVE |
City | MYERSTOWN |
State | PA |
Zip Code | 17067-3200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902821440 | John Byard Yoder | Family Medicine | 6 Perri Ave, Myerstown, PA 17067-3200 | 2006-07-13 |
1184245615 | Areeba Zain | Family Medicine | 6 Perri Ave, Myerstown, PA 17067-3200 | 2020-05-06 |
1659822187 | Wellspan Medical Group | Obstetrics & Gynecology | 6 Perri Ave, Myerstown, PA 17067-3200 | 2016-10-19 |
1265708184 | Syed Muhammad Atif | Family Medicine | 6 Perri Ave, Myerstown, PA 17067-3200 | 2012-03-25 |
1518989102 | Daria Kovarikova | Family Medicine | 6 Perri Ave, Myerstown, PA 17067-3200 | 2006-07-24 |
1588689822 | Michael R Seifert | Family Medicine | 6 Perri Ave, Myerstown, PA 17067-3200 | 2006-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033401 | Scott A. Schmidt | Marriage & Family Therapist | 39 W Main Avenue, Myerstown, PA 17067 | 2020-11-04 |
1285855874 | Janell Shaffer-yoder | Case Manager/Care Coordinator | 84 Martin Dr., Myerstown, PA 17067 | 2007-05-01 |
1841204351 | William L Reilly Jr. | Chiropractor | 727 East Lincoln Ave, Myerstown, PA 17067 | 2006-07-28 |
1124318712 | Suhrbier Chiropractic Clinic, LLC | Chiropractor | 480 W Lincoln Ave, Myerstown, PA 17067 | 2011-04-15 |
1215264585 | Sara M Wiencek | Speech-Language Pathologist | 1198 Wylie Ave, Washington, PA 17067-1015 | 2009-11-07 |
1073551743 | Myerstown Family Eye Care, Inc. | Optometrist | 356 W Main Ave, Myerstown, PA 17067-1023 | 2006-06-03 |
1932269172 | Mikes Pharmacy Inc | Pharmacy | 211 W Washington Ave, Myerstown, PA 17067-1036 | 2006-12-11 |
1326676594 | Brett Kemper | Physical Therapist | 11 E Lincoln Ave, Myerstown, PA 17067-1108 | 2020-04-01 |
1568442234 | Jean Templin | Optometrist | 5 E Lincoln Ave, Myerstown, PA 17067-1108 | 2006-01-19 |
1083932628 | Templin Eye Care, PC | Clinic/Center | 5 E Lincoln Ave, Myerstown, PA 17067-1108 | 2010-05-06 |
Find all providers in zip 17067 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710022678 | Custom Care Medical, LLC | Family Medicine | 463 E Main Ave, Myerstown, PA 17067-2226 | 2007-02-20 |
1902821440 | John Byard Yoder | Family Medicine | 6 Perri Ave, Myerstown, PA 17067-3200 | 2006-07-13 |
1235164963 | Ellen A Johnson | Family Medicine | 6 Perri Avenue, Myerstown, PA 17067-3200 | 2006-07-11 |
1952379059 | Frank C. Noonan | Family Medicine | 420 W Lincoln Ave, Myerstown, PA 17067-2327 | 2006-03-14 |
1124021845 | T Wangdi Sherpa | Family Medicine | 431 W Lincoln Ave, Myerstown, PA 17067-2328 | 2005-05-27 |
1184245615 | Areeba Zain | Family Medicine | 6 Perri Ave, Myerstown, PA 17067-3200 | 2020-05-06 |
1265708184 | Syed Muhammad Atif | Family Medicine | 6 Perri Ave, Myerstown, PA 17067-3200 | 2012-03-25 |
1285751479 | Stoneridge Family Medicine | Family Medicine | 7 W Park Ave, Myerstown, PA 17067-1340 | 2007-03-23 |
1548311608 | Myerstown Family Practice PC | Family Medicine | 431 W Lincoln Ave, Myerstown, PA 17067-2328 | 2007-01-16 |
1518989102 | Daria Kovarikova | Family Medicine | 6 Perri Ave, Myerstown, PA 17067-3200 | 2006-07-24 |
Find all providers in MYERSTOWN |
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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.