GOOD SAMARITAN PHYSICIAN SERVICES NPI 1558749846

NPI Information

  • NPI: 1558749846
  • Provider Name: GOOD SAMARITAN PHYSICIAN SERVICES
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: WELLSPAN UROLOGY - LEBANON
  • Address: 735 NORMAN DR
    SUITE B
    LEBANON, PA
    ZIP 17042
  • Phone: (717) 270-7908

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NPI Details

GOOD SAMARITAN PHYSICIAN SERVICES is an urology in Lebanon, PA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. GOOD SAMARITAN PHYSICIAN SERVICES NPI is 1558749846. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellspan Urology - Lebanon.

The provider's business location address is:

735 NORMAN DR
SUITE B
LEBANON, PA
ZIP 17042-497
Phone: (717) 270-7908
Fax: (717) 272-1734

The provider's authorized official is Jody M Boger .
The authorized official title is Credentialing Coordinator and has the following contact phone number (717) 270-7780.

The enumeration date for this NPI number is 5/7/2015 and was last updated on 10/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1047659MEDICARE PINPENNSYLVANIA
2001864024MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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