GOOD SAMARITAN PHYSICIAN SERVICES


Address: 30 N 4th St, 4th and Willow Streets, Lebanon, PA 17046-4808
Phone: 7172740474

GOOD SAMARITAN PHYSICIAN SERVICES (NPI# 1861752073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861752073
Entity Type Organization
Organization Name GOOD SAMARITAN PHYSICIAN SERVICES
Other Organization Name GOOD SAMARITAN PHYSICIAN SERVICES FAMILY SUPPORT
Practice Address 30 N 4th St
4th and Willow Streets
Lebanon
PA 17046-4808
Mailing Address Po Box 300
Lebanon
PA 17042-0300
Practice Telephone 7172740474
Practice Fax Number 7172740673
Mailing Telephone 7172707780
Mailing Fax Number 7172729746
Enumeration Date 2012-05-22
Last Update Date 2014-11-25
Authorized Official Name JODY M BOGER (CREDENTIALING COORDINATOR)
Authorized Official Telephone 7172707780
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 001864024 05

Other Provider/Organization Names

Other Name Type Code
Good Samaritan Physician Services Family Support Other Name - Individual/Organization

Other Provider IDs and Locations

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
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

Office Location

Street Address 30 N 4TH ST
4TH AND WILLOW STREETS
City LEBANON
State PA
Zip Code 17046-4808

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275513814 Jane Zendarski Acupuncturist 30 N 4th St, Lebanon, PA 17046-5606 2006-01-19
1174133433 Mobeena Arif Family Medicine 30 N 4th St, Lebanon, PA 17046-5606 2020-08-03
1619594462 Marta Halytska Family Medicine 30 N 4th St, Lebanon, PA 17046-5606 2020-06-28
1528682887 Francis Guerra-bauman Family Medicine 30 N 4th St, Lebanon, PA 17046-5606 2020-06-02
1447872189 Asna Tasleem Family Medicine 30 N 4th St, Lebanon, PA 17046-5606 2020-05-16
1053933879 Muhammad Ali Chaudhary Family Medicine 30 N 4th St, Lebanon, PA 17046-5606 2020-05-14
1043831563 Sobia Zareen Family Medicine 30 N 4th St, Lebanon, PA 17046-5606 2020-05-06
1063033223 Anila Gidwani Physical Therapist 30 N 4th St, Lebanon, PA 17046-5606 2020-04-29
1154982221 Trajan Barrera Family Medicine 30 N 4th St, Lebanon, PA 17046-5606 2019-06-27
1750942900 Derek J Baughman Family Medicine 30 N 4th St, Lebanon, PA 17046-5606 2019-06-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568708972 Amy Lesher Counselor 200 N &th Street, Lebanon, PA 17046 2012-12-13
1053656033 Jessica L Hoffman Nutritionist 4053 Church Hill Road, Lebanon, PA 17046 2012-12-03
1568772135 T. W. Ponessa and Associates Counseling Services, Inc. Community/Behavioral Health 400 Narrows Drive, Lebanon, PA 17046 2010-10-18
1336213024 William Lee Huffman Optometrist 40 N 8th St, Lebanon, PA 17046 2006-11-17
1366534620 Pennsylvania Counseling Services Inc Counselor 200 N 7th St., Lebanon, PA 17046 2006-09-28
1922106541 Pennsylvania Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 833 Bowman St The Promenade At Lebanon E, Lebanon, PA 17046 2006-09-20
1457360471 Lebanon Oncology & Hematology Assoc. Internal Medicine 4th & Willow St, Hyman S Caplan Pavilion, Lebanon, PA 17046 2006-08-07
1942218987 Craig M Wilson Chiropractor 624 N Ninth Street, Family Care Chiropractic, Lebanon, PA 17046 2006-08-04
1477575975 John I Shearer Counselor 1560 Jody Ave, Lebanon, PA 17046 2006-07-24
1316921950 Deborah J Thomas Counselor 408 N 15th Ave, Lebanon, PA 17046 2005-12-06
Find all providers in zip 17046

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265948624 Hannah Elizabeth Rolf Social Worker 713 Holbrook Ave Apt A, Lebanon, OH 45036-2094 2017-12-21
1285176032 Leah Michelle Sandlin Social Worker 218 S Mechanic St, Lebanon, OH 45036-2212 2016-11-10
1275902686 Robbie Hayter Social Worker 3317 Franklin Rd, Lebanon, TN 37090-8065 2015-09-16
1487040044 Jenny L Essex Social Worker 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 2015-04-10
1053721522 Kimberly Dawn Sellers Social Worker 212 N Broadway St, Suite 7, Lebanon, OH 45036-2736 2014-05-05
1760821276 Whitney Renee Rojas Social Worker 125 Lakeshore Dr., Lebanon, IN 46052-3100 2013-06-18
1609147610 Abbey Endicott Social Worker 387 Locust Forge Ln, Lebanon, OH 45036-7604 2012-01-23
1306120480 Melissa Kay Molter Social Worker 727 W Washington St, Lebanon, IN 46052-2064 2011-10-06
1861650798 Whitney T Brown Social Worker 1614 N Lebanon St Ste 2, Lebanon, IN 46052-1514 2008-05-28
1447417134 Nikki K Barnes Social Worker 515 W Camp St, Lebanon, IN 46052-1648 2008-05-20
Find all providers in LEBANON

Competitor

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City LEBANON
Zip Code 17046

Improve Information

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Dataset Information

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.

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